Pio Pio Family Day Care

Noncompliance Area: During the physical site inspection on 10/26/2020, it was observed that there was a child who was utilizing a pack and play. Provider did state that child sleeps in pack and play. The pack and play was not labeled with the child's name.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: On the date of inspection on 10/26/2020, it was observed that the facility did not have an operable smoke detector in the child care area or on the first floor. This condition poses a threat to the health and safety of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The emergency plan was last updated on 10/17/2019.

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: Facility person 1 and household member 2 did not have the NSOR on file during the dates of inspection from 10/6/2020-10/26/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. Facility Person # 1may not work in a child care position at the facility. 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 #1 may not work in a child care position at the facility.

Noncompliance Area: The first aid kit did not have 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: Child 1, who is a young toddler, did not have a new child service report on file. The last one on file was from 5/23/2018.

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: Child 1 did not have an updated fee agreement or emergency form on file. The last updated occurred in May of 2018.

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: Child 1, who is a young toddler, had a health assessment on file that was dated 11/26/2018. Child 1 also had a missing DTAP shot on the immunization report. As a result, the immunization record was also not updated.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe 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.

Noncompliance Area: On the date of inspection, 10/17/2019, it was found that the downstairs, which was also the child care area, did not have an operable smoke detector installed.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

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: The emergency plan was last reviewed in October of 2017.

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: The pack and play that was in use during the renewal inspection was not labeled with a child's name on it.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Child 2 did not have a date of admission on file.

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

Noncompliance Area: Child 1 did not have physician information in the file.

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 1 and 2 did not have their health reports signed by a physician, PA or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: Child 1 and 2 did not have permission for emergency medical care and minor first aid on file.

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.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: The facility did not have the emergency plan and the 3290 day care regulations posted in a conspicuous location used by parents.

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 locationThe operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff 1 did not have updated clearances. His child abuse clearance was last updated 8/9/2013. His state police clearance was last updated 7/5/2013 and his FBI clearance was last updated on 7/13/2013.

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: Disinfectant wipes were accessible to the children in the bathroom cabinet, which was unlocked.

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: Child 1 did not have an updated emergency form and fee agreement in his file.

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 operator did not have her emergency plan reviewed within the past year during the annual inspection on 10/27/2017.

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: The facility was missing scissors out of their first aid kit.

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: Inspector observed an above ground pool in provider back yard. Although the ladder is pulled up, inspector did not observe the ladder being locked so that it the ladder is not pulled down and pool accessible.

Correction Required: An above ground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Noncompliance Area: Inspector observed a wading pool in the backyard. Provider admits to the children wading in the pool. Provider does not have water safety training.

Correction Required: A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Noncompliance Area: Inspector observed an above ground pool filled with water that is accessible to children. Inspector observed a wading pool full of water accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: Provider does not have certificate posted in facility.

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 locationThe operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Inspector observed in a bin under the changing table - toxics (no more rash, baby wash, gold bond ultimate hand sanitizer moisturizer, banana boat 50 suntan lotion, destine clear and aveeno daily moisturizing lotion)accessible to children. All toxics were labeled "keep out of reach of 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.