Patience Learning Center Llc

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: The file for Child #3 contained an agreement form that was lacking a parental signature.

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

Regulation: 3280.123(a)(1)

Description: Amount of fee

Noncompliance Area: The file for Child #4 was lacking an agreement form.

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

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for Child #3 contained an agreement form that was lacking 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.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #1, 2, 4, and 5, all have been enrolled for more than 6 months, were all lacking Child Service Reports.

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 § 3280.124(f).

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for Child #3 contains an agreement form that is lacking the child's admission date. The file for Child #4 is lacking an agreement form and therefore is lacking an admission date.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the address and phone number of the child's physician or source of medical care. The files for Child #2 and #5 both contain emergency contact forms that were lacking the name 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: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for Child #2 and #5 both contained emergency contact forms that were lacking the parent's work address and phone number. The file for Child #3 contained an emergency contact form that was lacking the parent's work phone number.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for Child #3 and #4 both contained emergency contact forms that were lacking the child's medical insurance policy number.

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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for Child #1, 2, 4 and 5 all contained emergency contact forms that were lacking the addresses of the persons 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.

Regulation: 3280.124(f)/3280.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #1was lacking a 6 month update. The files for Child #2 and #5 had two updates that were more than 6 months apart.

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. 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: 3280.131(a)

Description: Health Information

Noncompliance Area: The file for Child #2 and #5 are both lacking initial Health Assessments.

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #2 and #5 both contain immunization records that are lacking one dose of the pneumococcal vaccine.

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: 3280.151(a)

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

Noncompliance Area: The files for Staff #1 and #2 both contain Health Assessments that are more than 24 months old.

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.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #2 and #5 both contain 2 agreement updates that were more than 6 months apart.

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: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff #2 and #3 are both lacking annual emergency plan training.

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.