Punkin Patch Childcare Inc

Noncompliance Area: On 7/30/2020, the file of facility person #1, hired 6/4/18, did not contain a completed NSOR verification certificate. The facility person had been in a child care position on 7/29/2020, per provider report. The requirement to have the completed NSOR verification certificate on file as of 7/1/2020 was not met, as required under the CPSL. Corrected as of 7/31/2020.

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. Facility person #1 must be removed from a child care position by the close of business because she/he does not have all the required clearances or requests for clearances.

Noncompliance Area: Cleaning solution was observed to be on a counter accessible to children, which was corrected on site.

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

Noncompliance Area: The water temperature of the sink in the infant room, which is used to wash infant's hands, was observed to be 126 degrees Fahrenheit. Corrected on site.

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

Noncompliance Area: Stamp lids and foam stickers less than 1 inch in diameter and a plastic bag were observed to be accessible to children in the transitional 3's classroom, in which toddlers were receiving care, which was corrected on site.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The file of facility person #1, hired 1/2/2020, contained a health assessment dated 12/23/2018 and tuberculin skin test results dated 12/10/2018, which therefore were not conducted within 12 months prior to providing initial service.

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. 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 file of facility person #1 did not include any written, nonfamily references.

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: The file of facility person #1, hired 1/2/2020, does not contain a completed NSOR verification. The LE did not have an approved waiver to hire provisionally at the time of inspection. The file of facility person #2, hired 11/4/19, does not contain a copy of the request for the NSOR verification, as required under the CPSL. The completed verification is dated 11/6/19, and therefore was not on file at the time of hire.

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. Facility person #1 must be removed from a child care position by the close of business. Effective 12/31/19 provisional hires may not work in a child care position when a waiver approval is not on file.

Noncompliance Area: The file of facility person #1, who had been observed to be counted in staff: child ratio, did not contain documentation of education or experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Per staff report, child #1 was pulled on the arm by facility person #1.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: It was observed in the Twos room that small chalk less than 1 inch in diameter was accessible to mouthing children. It was observed in the Transition threes room that dried corn kernels and pompoms less than 1 inch in diameter was accessible to mouthing children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: It was observed in the Ones room that the high-chair table contained seats with slots for safety buckles which were not found, therefore equipment was not being used as manufacturer had intended and posed a possible safety hazard.

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

Noncompliance Area: It was observed that the kindergarten room did not have a written schedule posted.

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

Noncompliance Area: The facility's parent handbook does not address transportation policies.

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.

Noncompliance Area: Child #9 does not have documentation of a current child service report on file. Corrected during inspection.

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 file for child #1 does not include the name, address or phone number of the child's physician. Corrected during inspection.

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: The files for children #2,3 and 5 do not include complete information regarding parents work addresses or phone numbers. Corrected during inspection.

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

Noncompliance Area: The files for children #1,5 do not include health insurance information or policy numbers. Corrected during inspection.

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: Facility's emergency transportation plan did not address staffing provisions in the event of an emergency and was not accompanying staff and children on excursions away from facility.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.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 files for children #2,3,6,7 and 10 currently have updated emergency contact forms and agreements but they were not updated between 05/18 and 12/18.

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: Children #7,8 and 10 do not have documentation that they have been immunized according to the ACIP schedule. There are no exemptions on file for medical, religious or personal belief reasons.

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.

Noncompliance Area: Mediation for Child #11 and #12 was accepted and stored by facility without its original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: Medication for child #13 was expired as of 9/2018, but was administered to child on 03/28/19 and 03/29/19.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Benadryl was being stored at the facility for child #11 but there was no signed parental permission to administer the medication.

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

Noncompliance Area: Staff person #5 has a physical and TB test on file but it was not obtained in a timely manner. Staff person #5 began employment on 01/02/19 and her physical and TB were not obtained until 02/13/19 and 03/02/19.

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: It was observed in the infant room that bottles are being rinsed and reused, and facility is not using disposable nursers or a commercial dishwasher.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: Staff persons #3,7 only had one written reference attesting to their suitability to work with children. Corrected during inspection.

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 person #2 does not have documentation that she was trained on the emergency plan at time of hire.

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: Staff persons #2,4,and 8 have mandated reporter training on file but it was not completed within the 90 day time frame as required under the CPSL. Staff person #2 hired 11/20/18 and completed training 03/26/19. Staff person #4 hired 01/02/19 and completed training 04/14/19. Staff person #8 was hired on 01/02/19 and completed mandated reporter training on 04/20/19.

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

Noncompliance Area: Staff person #6, qualified as a GS, does not have documentation of the required experience working with children.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Noncompliance Area: Staff person #1, qualified as an aide at the facility, does not have documentation of an eighth grade education.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: It was observed on the stage in the cafeteria that an outlet accessible to children under the age of 5 was left uncovered.

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

Noncompliance Area: It was observed that tape was missing from the infant room 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: A sharp piece of wire was observed on the sound-maker piece of equipment on the outside play area. A mesh doll box in the school-age classroom was observed to be torn, which was corrected on site.

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: Matchbox cars with removable parts less than one inch in diameter, pompoms, google eyes, and plastic bags were observed to be accessible to toddler children in the twos classroom, all of which were corrected on site.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The agreement on file for child #1 was not signed by the operator, which was corrected on site.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The health insurance coverage and policy number for child #3 was not provided on the child's emergency contact form.

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: The medications at the facility for the use of child #2 were not in their original containers.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: There was not signed permission from the parent for the administration of child #2's inhaler or EpiPen and there was not signed permission from the parent for administration of child #9's inhaler.There was not a medication log on file for the administration of the medications for child #2.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: There was a current physical exam, including tuberculin skin test results, on file for staff person #6 at the time of inspection, however it was dated after the staff person's start date, therefore it was not on file at the time of the staff person's start date.

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 health assessment on file for staff person #7 indicated that the staff person has communicable diseases, however there was not any information regarding the communicable disease. The health assessment was corrected on site.

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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: A bottle in the infant room was observed not to be labeled with the child's name, which was corrected on site.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: There was not documentation of the local traffic safety authorities having been notified in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the daycare facility. Written notification of safe routes was also not posted in a conspicuous location in the child care facility. The missing posting was corrected on site.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: There were current, updated signatures on the emergency contacts and agreement forms for children #4, 5, and 6, however it had been a period of more than 6 months from the previous review dates. The agreement forms for children #7 and 8 were also current and updated at the time of inspection, however it had been a period of more than 6 months from the previous review dates.

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: There was only one nonfamily reference on file for staff person #8 at the time of inspection.

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 persons #2, 3, 4, 9, and 12 had current emergency plan training at the time of inspection, however it had been more than one year from the date of the previous emergency plan training.

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: The emergency plan was not posted in a conspicuous location utilized by parents, which was corrected on site.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff person #1 did not have an FBI clearance on file and had not been fingerprinted for the FBI clearance as of the time of inspection. Staff persons #6 and #10 had a current FBI clearances on file at the time of inspection, however they were dated after the start dates, and the staff persons were not fingerprinted for the clearances until after the staff persons' start dates. The disclosure statements for staff persons #1, 5, 9, 10, and 11 did not have witness signatures, which were all corrected on site. The state police clearances for staff persons #2, 3, and 4 did not include the staff persons maiden names, which were corrected on site.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: Staff person #5, being utilized as a group supervisor, had documentation on file of a bachelor's degree, but did not have documentation of the field the degree was obtained in. Staff person #5 must obtain documentation of the field the degree was received in, or documentation of another acceptable combination of education and experience in order for the staff person to be group supervisor qualified.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Outlet covers were observed to be missing on a power strip and on a string of lights in the PreK classroom, which were corrected on site.

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

Noncompliance Area: Hand sanitizer was observed to be accessible to children in the Preschool classroom, which was corrected on site.

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

Noncompliance Area: The first aid kit in the kindergarten classroom was observed to be missing gloves, the first aid kit in the preschool classroom was observed to be missing tape, and the first aid kit in one of the vans used to transport children was observed to be missing gauze. All first aid kits were corrected on site.

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.A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: A runner in the hall was observed to be a tripping hazard for children, which was corrected on site.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Plaster was observed to be peeling in the transition 3's classroom, which was corrected on site.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Around 7:00 AM on 1/31/18, it was observed that staff member #2 was alone in a room with 12 preschool aged children. Staff person #1, the second staff member assigned to the room, had left the room to get the breakfast cart. Staff person #1 returned to the room at the time of inspection.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: The climber in the young toddler room was frayed and foam was exposed. Corrected on site.

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: Child #1 did not have written consent for administraton of medication.

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

Noncompliance Area: It was observed during diapering/potty training staff left three dirty diapers accumulate on the bathroom floor before disposing of all three diapers. The disposable diapers were not discarded immediately by placing the diapers into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The water temperature in the infant rooms was 119 degrees. Corrected on site.

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

Noncompliance Area: The windows on the second floor kindergarten room were not modified or adaoted to the limit of opening 6 or fewer inches. The paint and wood on the molding in the kindergarten room was peeling.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.