R-2-R PRESCHOOL

Noncompliance Area: Observed in the Multi-Purpose Room, two basketball sets, which were not secured, which created a potential toppling hazard.

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: The Fee Agreements in the files for Child #1 and #2 did not include the names of the release persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The file for Child #1, who has been enrolled for more than 60 days, did not include an initial health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most recent immunization records in the files for Child #2, #3 and #4, were not in accordance with the schedule recommended by the ACIP: Flu shots not conducted within the past 12 months: Child #2: January, 2019. Child #3 and #4: 2016.

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. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for Staff Person #2 did not include documentation of a TB screening and the results of the screening.

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: The files for Staff Person #2 and #4 and #5 did not include any letters of reference. The file for Staff Person #3 included only one letter of reference.

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 for Staff Person #3 did not include documentation of Mandated Reporter Training conducted within the past 60 months: 1/14/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The most recent State Police Clearances in the file for Staff Person #1 exceeded 60 month between clearances. 1/20/15 - 1/31/20. The most recent State Police Clearance in the file for Staff Person #1 is current. The file for Staff Person #4 did not contain a copy of Pennsylvania State Police Clearance.

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 #4 may not work in a child care position at the facility.

Noncompliance Area: The files for Staff Persons #2, #4 and #5, who were all hired as Assistant Group Supervisors, did not include verification of two years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years 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: The first aid kit in the Art Room lacked scissors and gauze.

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: Observed ceiling tiles, discolored from previous water damage in the following areas: Corner left of Infant Room H, next to the light in Reading Room 11, by the light in Primary Room 5, above the doors in the Puzzle Room, and on each side of the light in Beginner Room 1.

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: The Emergency Contact Form in the file for Child #5 did not include the phone number of the child's source of medical care.

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 Emergency Contact Form in the file for Child #2 did not include written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The Emergency Contact Form in the file for Child #2 did 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: The initial health reports in the files for Child #2 and #3 were later than 60 days following the children's first day of attendance at the facility. The most recent health reports in the files for both children are current.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most recent health reports in the files for Child #1 and Child #2 exceeded more than 12 months between assessments. The most recent health reports in the files for both children are current.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The files for Child #1, #3, #4 and #5 lacked written verification of a current flu shot in accordance with the schedule recommended by the ACIP.

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: The Emergency Contact Form in the file for Child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The State Police and Child Abuse Clearances in the file for Staff Person #1 were dated after the Staff Person's first day working in child care: 2/17/17. State Police: 9/26/17, Child Abuse: 3/28/17. The clearances in the file for Staff Person #1 are current. The FBI Clearance in the file for Staff Person #2 is more than 60 months old: 4/6/13.

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 #2 may not work in a child care position at the facility.

Noncompliance Area: The wooden frame surrounding the baseboard heater in the Multipurpose Room was separated from the wall, which created a possible pinch point and exposed flaking plaster behind the frame.

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: A TV cable was dangling from the ceiling to the floor in the right corner of the multi-purpose room. A computer cord was dangling from the desk to the outlet in the multi-purpose room. Thumbtacks were observed in an unlocked desk, which made them accessible to children, in the multi-purpose room.

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

Noncompliance Area: Brown stains from a previous water leak were observed on three of the ceiling tiles above the sink in the bathroom identified as Room #9.

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: Peeling paint from a previous water leak was observed along the right corner of the wall in bathroom identified as Room #9.

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

Noncompliance Area: A loose faucet was observed on the toy sink in the Primary room, causing a pinch point. A cracked lid on a bin was observed in the Education Room, causing a rough edge.

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: Plastic bags were observed in the lower unlocked drawer in the Music Room, accessible to young 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: The file for Child #1 contained an emergency contact form which lacked addresses for release persons.

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 Child #2 contained consecutive health reports dated more than 12 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Written parental consent for administration of an EpiPen labeled for Child #3 was not present in the facility.

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

Noncompliance Area: A current menu was not posted in the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: The file for Staff #2 lacked documentation of required mandated reporter training.

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: The file for Staff #1 contained documentation of a bachelor's degree in an unknown field, making it unable to be determined if the degree is in a related field.

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: The first-aid kit in the Library was observed to lack 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: Sharp tacks were observed in an unlocked drawer of the desk in the gross motor room, accessible to children.

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: In Room 1 there was a plastic toy with a crack on it causing a pinch point.

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 and child #3 lacked child service reports.

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: Child #2 had an emergency contact form that lacked the addresses of individuals 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: There was no emergency contact information present in Room 5 for one child receiving care in that room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: Child #3, a young toddler, had a most recent health assessment dated 7-22-16.

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

Noncompliance Area: Child #2 had a health assessment that was not signed by the medical provider.

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: Staff person #3's record contained a most recent health assessment dated 7-14-14.

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 person #1 had a most recent FBI clearance dated 6-9-10, which was expired. Staff person #1 lacked a current FBI clearance. Staff person #2, with a documented start date with children of 12-21-16, had a child abuse clearance dated 1-10-17 and an FBI clearance dated 1-20-17. There was no proof that Staff person #2 applied for the child abuse clearance prior to working with children. Staff person #2 had proof of applying for the FBI clearance on 1-14-17, which was after the person's start date in a child care position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may 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.

Noncompliance Area: The required telephone numbers were not posted by the telephone in the eating area.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.