Punkin Patch Childcare Inc - Red Lion PA Child Care Center

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.