Andrea Wilson

Noncompliance Area: During renewal inspection on 8/18/20, file of a household member #2 did not include a complete NSOR verification certificate.

Correction Required: New CPSL clearances for the legal entity and for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year will be required by the Department if an application for renewal is received following expiration of the current certificate of registration.

Noncompliance Area: During renewal inspection, file of a facility person #1 did not include NSOR certificate, PSP criminal history clearance and mandated reporter training were not renewed every 60 months. The date of existing PSP criminal history clearance is 1/2/15, mandated reporter training is 3/22/15.

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: During renewal inspection on 7/25/19, a one year veterinarian's certificate of rabies immunization for a cat at the facility was conducted on 8/5/17 and expired.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: During renewal inspection on 7/25/19, child service report of child #3 was conducted on 12/20/18. Child service report has to be conducted at least every 6 months.

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 3290.124(e).

Noncompliance Area: During renewal inspection on 7/25/19, emergency contact form of child #1 and #2 didn't include the address of the individual designated by the parent 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.

Noncompliance Area: During renewal inspection on 7/25/19, emergency contact form and agreement of child #1 and #3 were not updated at least once in a 6-month period or as soon as there is a change in the information.

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 informationA 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: During renewal inspection on 7/25/19, health report of child #1 ( young toddler) was not updated at least every 6 months. Last health report is dated 7/24/18.

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 must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 7/25/19, a health assessment of staff #1 and #2 was conducted on 7/17/17, more than 24 months ago.

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.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: During renewal inspection on 7/25/19, file of child #4 didn't include emergency contact form and agreement.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: During renewal inspection on 7/25/19, staff person #1 obtained 6 out of 12 clock hours of biennial child care training. File of staff person #2 didn't include verification of 12 biennial clock hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: During renewal inspection on 7/25/19, the disclosure statement on staff #1 did not include the signature of the witness. File of staff #2 did not include mandated reporter training.

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: At the time of the renewal inspection, there was a state police clearance and child abuse clearance for resident #1, but the FBI clearance was missing from the file.

Correction Required: At renewal, the legal entity shall submit clearances required by the CPSL for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year if the individual attained 18 years of age following the date of the previous application for a registration certificate.

Noncompliance Area: At the time of the renewal inspection, the emergency plan had not been reviewed annually and did not have directions as to how to get to the evacuation site.

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.

Noncompliance Area: At the time of the renewal inspection, it was observed that the electrical outlets in the main room did not have covers on them.

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

Noncompliance Area: At the time of the renewal inspection, it was observed that the waste basket in the bathroom did not have a cover.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: Individual #1 turned age 18 on 03/05/2017. His birthdate is 03/05/1999. All clearances required by CPSL need to be submitted.

Correction Required: At renewal, the legal entity shall submit shall submit clearances required by the CPSL for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year if the individual attained 18 years of age following the date of the previous application for a registration certificate.

Noncompliance Area: Observed there was no daily activities and routines written plan posted.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: Observed staff person #1 leave the child space and go into the kitchen leaving the children unsupervised.

Correction Required: 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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times.

Noncompliance Area: Provider was unable to provide the veterinarian`s certificate of current rabies immunizations required for her cat.

Correction Required: A veterinarian`s certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: Observed child #7's agreement did not specify the amount of the fee to be charged per day or per week.

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

Noncompliance Area: Child #7's agreement did not specify 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.

Noncompliance Area: Child #2, #3, #4, #5, #6 and #7's files did not contain child assessment forms.

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 3290.124(e).

Noncompliance Area: Observed that child #6 and #7's agreements did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: Observed that child #7's agreement did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: Child #6, #7 and #8's agreements did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: Child #7's emergency contact information did not include the physicians name. Child #6 and #7's emergency contact information did not include the address of the child's physician. Child #7's emergency contact information did not include the telephone number 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.

Noncompliance Area: Child #6 and #8's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

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

Noncompliance Area: Child #6 and #7's emergency contact information did not include the written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: Child #6, #7 and #8's emergency contact information did not include information on the child`s special needs.

Correction Required: Emergency contact information must include information on the child`s special needs, as specified by the child`s parent, physician, physician`s assistant of CRNP, which is needed in an emergency situation.

Noncompliance Area: Child #6 and #7's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: Child #7 and #8's emergency contact information did not include the name and telephone number of the individual designated by the parent to whom the child may be released. Child #6, #7 and #8's emergency ontact information did not include the address of the individual designated by the parent 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.

Noncompliance Area: Observed there was no emergency transportation of a child to emergency care in place.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: Child #6, #7 and #8's emergency contact inforrmation was not reviewed by the parent in the last 6-month period.

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

Noncompliance Area: Child #6 and #7 did not have signed consent from a parent or legal guardian for adminisitration of medication or a special diet if possible.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: Staff person #1 did not wash hands after diapering a child.

Correction Required: A staff person shall ensure that a child`s hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: Staff person #1, #2, and #3 did not have health assessments on file. Staff person #1 and #3 did not have the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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 on file at the facility.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: Provider did not have individual records for child #2, #3, #4 and #5.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: Child #6, #7 and #8's emergency contact information was not updated within a 6-month period. Child #1 and #3's financial agreements were not updated within a 6-month period.

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: Child #6 and #8 did not have subsequent health reports on file.

Correction Required: A child`s record must contain initial and subsequent health reports.

Noncompliance Area: Child #6 and #7's record did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Child #6 and #7's record did not contain signed parental consent for administration of medications or special dietary needs.

Correction Required: A child`s record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: Child #6 and #7's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: Child #7's record did not contain signed parental consent for transportation and walking excursions. Child #7 and #8's records did not contain signed parental consent for swimming. Child #6 and #7's record did not contain signed parental consent for wading.

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

Noncompliance Area: Provider did not have an accident file to retain copies of incident reports.

Correction Required: A child`s record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child`s file.

Noncompliance Area: Staff person #1 was unable to provide identification to verify name and address. Staff persobn #2 and #3's records did not include their name, address and telephone number.

Correction Required: A facility person`s record shall include the name, address and telephone number of the facility person.

Noncompliance Area: Staff person #2 and #3 did not have disclosure statements signed and on file.

Correction Required: 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 #--- may not work in a child care position at the facility.

Noncompliance Area: Staff person #1, #2 and #3 did not have verification of training completed in their folders.

Correction Required: A facility person`s record shall include records of training required by the Department.

Noncompliance Area: Observed the provider did not have the current certificate of registration and a copy of the applicable regulations with the regional day care office contact information posted in a conspicuous location.

Correction Required: The facility`s current certificate of registration 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: Observed the facility did not have an emergency plan formulated and posted.

Correction Required: The facility shall have an emergency plan.

Noncompliance Area: Observed there were no evacuation routes posted.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3290.94 (f) and (g) (relating to fire drills).

Noncompliance Area: Observed Staff person #1, #2 and #3 did not have mandated reporter training in their employee folders.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: Did not observe first-aid techniques training in staff person #1, #2 and #3's folders.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: Observed that the facility telephone did not have the numbers posted for the nearest hospital, police department, fire department, ambulance and poison control center.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Observed the first-aid kit did not include soap and tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Observed that the mirror on the medicine cabinet in the bathroom is broken.

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.

Noncompliance Area: Observed that provider did not have fire evacuation plan formulated.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: Provider did not have a fire drill log and did not provide verification of fire evacuation drills.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.