Precious Tots Daycare - Rochester PA Child Care Center

Noncompliance Area: In the upstairs classroom #1 two shelves were observed to be cracked on a shelving unit causing sharp edges.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: The original agreements were observed on file for Children #1, #2, #3, #4 and #5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The emergency contact form for Child #2 lacked the release person information for the child. The emergency contact form for Child #4 and #5 lacked the complete address information for the release person.

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: The file for Staff Person #1 and #2 lacked an updated health assessment within 24 months of their prior assessment. The file for Staff Person's #4 and #5 lacked an initial health assessment within 12 months prior to starting in a child care taking position.

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.

Noncompliance Area: The file for Staff Person #4 lacked a tuberculosis screening within 12 months prior to starting in a child care taking position.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The health assessment on file for Staff Person #5 lacked a statement that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: An infant feeding schedule was missing for an infant receiving care at the time of the inspection.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The updates to the emergency contact form and financial agreements for Children #1, #2, #3, #4 and #5 exceeded 6 months between review and 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: The file for Child #1, a school age child, lacked a current health assessment acceptable for the school district.

Correction Required: An equivalent health report completed by a school is acceptable as documentation of child health for a school-age child.

Noncompliance Area: The file for Staff Person #4 lacked a witness signature on their Disclosure Statement. The file for Staff Person #4 also lacked a request for their State Police Clearance and Fingerprinting for their FBI Clearance prior to stating in a child care taking position. The file for Staff Person #5 lacked completion of their mandated reporter training within 90 days of starting in a child care taking position.

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

Noncompliance Area: The updates to the annual written evaluations exceeded 12 months for Staff Person's #1, #2 and #3 occurring in August of 2018 and January of 2020.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The hot water in the upstairs restroom and in the upstairs classroom #1 was measured at 119.5 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: 2ND CITATION: At approximately 3:30pm, there were 6 young school age children being cared for in Classroom #3, which has a measured capacity of 4 children. PREVIOUSLY CITED ON 4-29-19.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: **2ND CITATION: It was observed that a school aged child left Room #3 upstairs and entered the Kitchenette room upstairs to reportedly retrieve a fork. There was no staff person present in the Kitchenette room. The child was assigned to the responsibility of Staff person #2 who remained in Room #3 and was not physically present with the child when the child left Room #3 and entered the Kitchenette room. PREVIOUSLY CITED 1-31-19.

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. The legal entity will hold a staff meeting once a month for a period of three months during which the agenda will include a review of the regulation for group assignment and the requirement that all staff will know the names and whereabouts of the children assigned to their group and be physically present with them at all times. All staff will be required to attend each staff meeting.

Noncompliance Area: Staff person #2 had a child abuse clearance that was designated for household member only, not employment. Staff person #2 was observed to be working alone in a room with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 may not work in a child care position at the facility.