Pennbriar Child Care Services Inc - Erie PA Child Care Center

Noncompliance Area: In the front left corner of the pre-k room, there was a square blue mat that had tears in 2 corners. In the common area/school-age room, the far right cabinet under the counter had the right door with the top bracket/hinge that was not connected to the door causing the door to be loose and unstable. In the older 2's room, the cabinet under the changing table had a loose handle on the right door that was coming apart from the door causing it to be unstable. In the older 2's room, the red lockers in the corner had the 2 right lockers with unlocked doors that had a loose shelf that was broken and falling down.

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: At approximately 11:15 a.m., Child #7 left the school-age room alone and entered the pre-k room to get his lunch without a staff person supervising the child. Staff Person #1 was unaware that the child left the room. The pre-k teacher was in the far corner of the room supervising a group using the bathroom and was not supervising Child #1. At approximately 11:45 a.m., there were 4 school-age children that were in the far back right corner of the school-age room near the bathrooms and were unsupervised by a staff person for approximately 1 minute.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: The file for Child #3, enrolled 4/15/19, did not include a Child Service Report. The most recent Child Service Reports in the files for Child #4 and Child #5 were dated Spring, 2019. Child Service Reports for these three children were due prior to the suspended regulations for COVID-19.

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: The Emergency Contact Form in the file for Child #5 did not include the address for the release persons.

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: In the 2's room, the emergency transportation plan was not posted.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The file for Child #2, a Young Toddler, did not contain an updated health report conducted within the past six months. An updated health report was due prior to the suspended regulations due to COVID-19.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most recent health reports in the file for Child #3, an Older Toddler, exceeded 12 months between reports. The most recent health report in the file for Child #3 is current.

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

Noncompliance Area: The most recent immunization records in the files for Child #1, 2, 3, and 4 were not in accordance with the schedule recommended by the ACIP. Child #1, Infant: Missing 9-month immunizations. Child #2, Young Toddler: Not current due to late health assessment. Child #2 and #3 No documentation of flu shot and no letter of exemption from parent or physician. Child #4: Flu shot: November 2018.

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

Noncompliance Area: In the 1 year old room, Child #8 had Children's Motrin and Orajel that were not labeled with the child's name.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The most recent health assessments in the files for Staff Persons #1, #3, #6 and #7 exceeded 24 months between assessments. The most recent health assessments in the files for each staff person are now current.

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 first parental update for the Emergency Contact Form and Fee Agreement in the file for Child #2 was more than six months after the child's first day in care. 6/17/19-1/2/20. This update is now current due to suspended regulation during COVID-19. The most recent parental updates in the files for Child #4 and #5 exceeded six months between updates. Child #4 3/28/19-5/13/20. Child #5: 3/19/19-1/6/20. These updates are now current. The Emergency Contact Form and Fee Agreement in the file for Child #3 have not been updated since the child's enrollment: 4/15/19.

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 Emergency Contact Form in the file for Child #6 did not include parental consent for swimming. Child #6 was participating in swimming on 7/1/20.

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

Noncompliance Area: The file for Staff Person #5 did not include documentation of annual training in the facility's emergency plan conducted within the past 12 months. Most recent training: 6/10/19.

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 most recent fire safety trainings for the facility exceeded 12 months in between trainings: 5/18/19-6/12/20. The most recent fire safety training is current.

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. 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 most recent Mandated Reporter Training in the file for Staff Person #4 exceeded 60 months between trainings: 12/11/14-6/30/20. This training is now current.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.