Premier Early Learning Center - Emmaus PA Child Care Center

Noncompliance Area: The infant room does not have a written plan of daily activities posted in the group space.

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. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Provider does not have a supervision policy to give to parents in writing at the time of enrollment.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: In the infant room in the shelf to the right when entering the room, the inspector observed a crock pot plugged in with water. Inspector used the state issued thermometer to check temperature of water. Temperature of water was 165 F. The crock pot was in the same area where high chairs are located. Staff 1 admitted crock pot is used to heat up baby bottles.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Children 1,2 and 5 have been enrolled for more than 6 months and do not have child service reports on file. Child 3 does not have an updated child service report on file. Last child service report on file for child 3 is dated 12/2/17.

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: Emergency contact form for child 2 does 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: Staff 8 - DOH - 12/6/17 did not have a health assessment or tb test conducted within 12 months prior to providing initial service in a child care setting or at initial hire. Staff 8 has a health assessment and tb test on file dated 12/29/17. Staff 6 DOH - 6/12/18 does not have a health assessment or tb test conducted within 12 months prior to providing initial service in a child care setting or at initial hire. Staff 6 has a health assessment on file dated 3/5/16 and a tb test dated 5/24/16. Staff 3 DOH - 3/2018 did not have a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff 3 has a health assessment on file dated 5/22/18.

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: Staff 8 - DOH - 12/6/17 did not receive a tuberculosis screening by the Mantoux method at initial employment. Staff 8 tb screening on file is dated 12/29/17. Staff 6's DOH - 6/12/18 health assessment does not include tuberculosis screening by the Mantoux method at initial employment. Staff 6 has a tb screening on file dated 5/24/16. Staff 3's DOH - 3/2018 health assessment does not include tuberculosis screening by the Mantoux method at initial employment. Staff 3 has a tb screening on file dated 5/14/09. Staff 2's DOH - 4/1/18 health assessment does not include tuberculosis screening by the Mantoux method at initial employment. Staff 2 has a tb screening on file dated 4/15/16.

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.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: Staff 7's health assessment does not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: Children 2 and 4 do not have updated fee agreements on file. Children 2 and 4 are preschoolers and have fee agreements on file from when they were infants. Fee agreements on file state infant care. Child 5 does not have an updated emergency contact form on file. Last update for child 5's emergency contact information is dated 12/13/17.

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: Staff 5 does not have 2 non-family written references on file. Staff 5 only has 1 non-family written reference on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Staff 2 has 2 hire dates on file - 5/15/17 and 4/1/18. Staff 2 did not have emergency plan training at initial hire when she was rehired 4/1/18. Staff 2 has documented emergency plan training on file dated 5/11/17 and 6/26/18. Staff 3 has 2 hire dates on file - 12/1/01 and 3/2018. Staff 2 did not receive emergency plan training at initial hire when rehired 3/2018. Staff 3 has emergency plan training on file dated 5/11/17 and 6/26/18.

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.

Noncompliance Area: Operator admitted to not sending a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: Staff 2 - DOH - 4/1/18, staff 3 - DOH - 3/2018 and staff 6 - DOH - 6/12/18 are all rehires and they do not have disclosures on file that were signed reflecting the date the staff was rehired.

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: Staff 1 - DOH - 3/22/15, staff 2 - DOH's 5/15/17 and 4/1/18 and staff 3 - DOH - 3/2018 do not have proof of experience on file to qualify as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: Inspector observed toxic's (aveeno - hydro sport spf 30 and off) inside a bag on the floor in the older school age room. Both toxics are labeled "keep out of reach of children" and are accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.