Patricia E Hodges - Lancaster PA Family Child Care Home

Noncompliance Area: File for staff person #1 and #2 contained a physical dated 4/11/18 and 4/6/18 respectively. Neither file contained an updated physical within the last 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.

Noncompliance Area: File for staff person #1 and #2 and household members #3, #4, #5, and #6 did not contain any of the necessary clearances under the CPSL. All previously filed PA State Police Clearances, PA Child Abuse Clearances, and FBI Clearances for staff/household members #1, #2, #4, and #5 are expired according to the CPSL and no updated clearances were observed on file completed within the last 60 months as required. File for staff person #1 and #2 and household members #3, #4, #5, and #6 did not contain a completed NSOR verification certificate. File for staff person #1 contained a mandated reporter training dated 1/15/15. This training has expired and no updated training was found on file completed within the last 60 months as required. File for household member #3 and #6 did not contain a signed disclosure statement.

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. Staff Person #1 and #2 and Household Members #3, #4, #5, and #6 may not work in a child care position at the facility.

Noncompliance Area: It was observed in the bathroom used by children that the outlets were left uncovered and accessible to those children under the age of 5.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: It was observed that the play carpet used by children was frayed and not in good repair.

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: It was observed that plastic bags were accessible to mouthing children.

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: It was observed that a child was placed in a high chair but was not for the purposes of eating.

Correction Required: 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.

Noncompliance Area: It was observed that a child fell asleep in a bouncy chair and was not placed in the sleeping position 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: Agreement for child #2, #3, and #4 did not contain date fee is to be paid.

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

Noncompliance Area: Emergency contact form for child #7 was illegible and therefore information on form was not available.

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: Emergency contact form for child #1 did not contain enrolling parent's work address.

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

Noncompliance Area: Emergency contact form for child #1, #2, #3, and #6 did not contain health insurance coverage name and child #3 and #6 did not contain health 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.

Noncompliance Area: File for child #2 did not contain an updated physical and file for child #5 did not contain an initial physical.

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.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: Although both agreements and emergency contact forms for all children were reviewed and updated, this updated occurred more than 6 months from prior update.

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: Air freshener was observed in the bathroom and cleaning supplies were observed in the middle room accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: It was observed in the middle room that prescription medication bottles were left accessible to children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.