Renees Childcare Inc

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection children #1& 2 did not have Child Service Reports or updates on file.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection child #2 did not have parent's work address and work phone number on their emergency contact form.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection the facility did not have a policy addressing The Prevention and Identification of Child Maltreatment. Also, facility person #1 did not have Health & Safety Update or Part 2 in their file.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: At the time of the inspection child #2 did not have a physical on file.

Correction Required: A child's record must contain initial and subsequent health reports.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection the facility persons #2 & 3 did not have Emergency Plan Training on file at the facility.

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.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: At the time of the inspection facility persons #1 & 2 did not have 12 hours of Professional Development training on file.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.31(e)(4)(i)/3280.31(f)(10)

Description: Age and training/Age and training

Noncompliance Area: At the time of the inspection facility person #2 did not have Pediatric First Aid / CPR training on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3280.31(f)/3280.31(g)

Description: Age and training/Documentation of professional development

Noncompliance Area: At the time of the inspection facility persons #1, 2, and 3 did not have Health & Safety Part 1 or 10 hours /6 hours previous required Health & Safety on file.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection §3270.31(f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection facility person #1 had expired Child Abuse clearance, DHS FBI clearance and NSOR certificate, facility person #2 had expired NSOR certificate and facility person #3 had expired Child Abuse clearance and NSOR certificate on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 01, 02, and 03 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Regulation: 3280.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: At the time of the inspection the outdoor play space had an unused wine cooler, filled trash bags, a broken broom and a disassembled canopy causing the play space to be unsafe.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: At the time of the inspection the wired smoke alarm was beeping signaling service was needed.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: At the time of inspection children #3 and 4 did not have a financial agreement on file.

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

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: At the time of inspection child #3 did not have an agreement on file.

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

Regulation: 3280.124(f)

Description: Updated every 6 months

Noncompliance Area: At the time of inspection children #1, 2, and 3 did not have their 6month updated emergency contact form on file.

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 information.

Regulation: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: At the time of inspection facility did not have written policies on the following two 1. The strategies for coping with a crying, fussing or distraught child and 2 The prevention and identification of child maltreatment Also, emergency plan did not address continuity of operations and did not specify the role of a volunteer etc.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: At the time of inspection facility's operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of inspection facility persons #1, 2 and 3 had the 2hour Nursing mandated report training on file not the required 3hour mandated childcare mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 1, 2 and 3 may not work in a childcare position at the facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: At the time of inspection facility did not have documentation of annual testing from a fire safety professional and also did not have proof of purchase of interconnected fire detection systems or attestation form on file.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: While conducting the renewal inspection on 6/28/23 it was observed staff person#1 file did not include an current health assessment.

Correction Required: 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.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: While conducting the renewal inspection on 6/28/23 it was observed the facilities emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: While conducting the renewal inspection on 6/28/23 it was observed staff person#2 file did not include verification of emergency plan training being completed.

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.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: While conducting the renewal inspection on 6/28/23 it was observed staff person#2 file did not include DHS issued FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff person#2 must obtain verification of DHS FBI clearance as required under CPSL. Staff person#2 may not work unsupervised in child care position at the facility .

Regulation: 3280.34(c)

Description: Supervise secondary staff

Noncompliance Area: While conducting the renewal inspection on 6/28/23 it was observed staff person#2 file did not include documentation of performance.

Correction Required: A primary staff person shall supervise the performance of a secondary staff person.

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: While conducting an allocated unannounced inspection on 5/8/23 it was observed staff person# 1 file did not include an updated health assessment .

Correction Required: 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.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: While conducting an allocated unannounced inspection on 5/8/23 it was observed that staff person #1 file did not include emergency plan training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: While conducting an allocated unannounced inspection on 5/8/23 it was observed that staff person#1 has not completed mandated reporter training with in the last 60 months. This is evidence by the previously documented mandated reporter training on file completed on 8/19/16.

Correction Required: The operator shall comply with the CPSL and with Chapter 349-( related to Child Protective Services ) Staff person# 1 will have until 5/23/23 to complete the mandated reporter training. until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by primary staff who has completed the required training related to this citation. If there are no staff persons available to supervise staff person#1, staff person#1 may not work in a child care position at the facility.

Regulation: 3280.123(a)(4)/3280.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed child #1's agreement did not specify the child's arrival, departure times and specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed child #1 and #2's agreement did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed child #1's emergency contact information did not include the work address and telephone number of the enrolling parent.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed child #2's emergency contact information did not include the health insurance policy number for the child.

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.

Regulation: 3280.176(a)

Description: Insured

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed the vehicle used for transportation of children did not have verification of insurance in it.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3280.178

Description: Transportation First Aid Kit

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed the vehicle used to transport children did not have a first-aid kit included.

Correction Required: A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3280.182(3)/3280.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed child #2's record did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3280.192(2)(ii)/3280.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed staff person #3's record did not contain verification of child care experience, education prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed staff person #2 and #3's record did not 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.

Correction Required: 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.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed staff person #1 and #2's record did not include verification of annual 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.31(f)(10)

Description: Age and training

Noncompliance Area: During the renewal inspection conducted on 4/21/2022 observed staff person #3's record did not include verification of professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Noncompliance Area: During the 6/21/2019 renewal inspection observed child #1 and #2's emergency contact information did not include the work address and telephone numbers of the enrolling parent.

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

Noncompliance Area: During the 6/21/2019 renewal inspection observed child #4 did not have an updated health report within the 12 month time frame. Last physical was conducted on 6/18/2018.

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: During the 6/21/2019 renewal inspection observed child #2's health report did not include a review of the child's immunized status according to recommendations of the ACIP. The health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: During the 6/21/2019 renewal inspection observed child #3's record did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: During the 6/21/2019 renewal inspection observed child #3's record did not contain signed parent consent for administration of minor first-aid by facility staff and signed parental consent for transportation.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During the 6/21/2019 renewal inspection observed the bathroom electrical outlets did not have protective receptacle covers.

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

Noncompliance Area: During the 6/21/2019 renewal inspection observed hydrogen peroxide child accessible in the bathroom and Lysol spray on the table in hallway next to the bathroom child accessible.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed the facility did not have instructions for contacting the appropriate regional day care office posted.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Observed hand sanitizer child accessible.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: ON JUNE 11, 2018 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 OBTAINED AN ANNUAL MINIMUM OF 6 CLOCK HOURS OF CHILD CARE TRAINING. THE RECORD INCLUDED 5 CLOCK HOURS OF CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: ON JUNE 11, 2018 DURING THE RENEWAL INSPECTION, THERE WAS A SURGE PROTECTOR ON THE SIDE OF THE COUCH MISSING PROTECTIVE RECEPTACLE COVERS THAT WAS ACCESSIBLE TO CHILDREN.

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

Noncompliance Area: ON JUNE 11, 2018 DURING THE RENEWAL INSPECTION, THERE WAS NYQUIL COLD MEDICINE IN AN UNLOCKED BATHROOM CABINET ACCESSIBLE TO CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 AND # 2 DID NOT SPECIFY THE DESIGNATED RELEASE PERSONS.-CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: ON AUGUST 17, 2017 DURING THE UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 3 DID NOT INCLUDE THE ADDRESS OF THE DESIGNATED RELEASE PERSONS- CONTINUED NON-COMPLIANCE.

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: ON AUGUST 17, 2017 DRUING THE UNANNOUNCED INSPECTION, WRITTEN NOTIFICATION OF SAFE ROUTES WERE NOT ESTABLISHED OR POSTED AT THE FACILITY- CONTINUED NON-COMPLIANCE.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: ON AUGUST 17, 2017 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 DID NOT INCLUDE TWO WRITTEN, NONFAMILY REFERNECES.- CONTINUED NON COMPLIANCE

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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, CHILD # 4 WAS SLEEPING ON THE COUCH.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, A WRITTEN PLAN OF DAILY ACTIVITIES AND RUTINES WAS NOT ESTABLISHED OR POSTED AT THE FACILITY.

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 and routines shall be posted in a traffic area used by parents.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENTS REVIEWED FOR 4 OUT OF 4 CHILDREN DID NOT SPECIFY THAT FAMILIES WILL RECEIVE GROWTH AND DEVELOPMENT INFORMATION ABOUT THE CHILD IN THE CONTEXT OF THE SERVICES TO BE PROVIDED.

Correction Required: An agreement shall specify 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 at 3280.124(f).

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 AND # 2 DID NOT SPECIFY THE DESIGNATED RELEASE PERSONS.

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

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENTS REVIEWED FOR 4 OUT OF 4 CHILDREN DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVEIWED FOR CHILD # 2 DID NOT INCLUDE THE TELEPHONE NUMBER OF THE PHYSICIAN.

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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 1 DID NOT INCLUDE THE CHILD'S SPECIAL NEEDS.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 2 DID NOT INCLUDE THE HEALTH INSURANCE POLICY NUMBER.

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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 4 DID NOT ICLUDE THE ADDRESS OF THE DESIGNATED 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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A WRITTEN EMERGENCY TRANSPORTATION PLAN ESTABLISHED OR POSTED CONSPICUOUSLY IN THE CHILD CARE SPACE.

Correction Required: 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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR INDIVIDUAL # 1 HIRE DATE 6/2017, DID NOT INCLUDE AN INITIAL HEALTH ASSESSMENT. THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 3 WAS NOT UPDATED IN A 24-MONTH PERIOD. LAST HEALTH ASSESSMENT REVIEWED DATED 2/9/15.

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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF WRITTEN NOTIFICATION TO THE LOCAL TRAFFIC SAFETY AUTHORITIES.

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.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF SAFE ROUTES ESTABLISHED OR POSTED IN THE FACILITY.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION AND FEE AGREEMENT REVIEWED FOR 2 OUT OF 4 CHILDREN WAS NOT UPDATED IN A 6-MONTH PERIOD.

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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 2 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE AND SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MEDICATIONS.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 2 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR TRANSPORTATION, WALKING EXCURSIONS AND SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID PROCEDURES BY FACILITY STAFF.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF AN ACCIDENT FILE ESTABLISHED OR RETAINED AT THE FACILITY.

Correction Required: A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 AND INDIVIDUAL # 1 DID NOT INCLUDE TWO 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: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF TRAINING REGARDING EMERGENCY PLAN FOR 3 OUT OF 4 STAFF PERSONS.

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.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY PLAN WAS NOT POSTED IN THE FACILITY AT A CONSPICUOUS LOCATION.

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

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 3 HIRE DATE, 9/20/10 DID NOT INCLUDE A FBI FINGERPRINT CLEARANCE AND A COPY OF THE DISCLOSURE STATEMENT. THE RECORD REVIEWED FOR INDIVIDUAL # 1 IDENTIIFED AS A VOLUNTEER, HIRE DATE 6/2017, DID NOT INCLUDE A COPY OF REQUESTS FOR THE CRIMINAL HISTORY RECORD AND CHILD ABUSE REGISTRY CLEARANCE. REQUIRED UNDER THE CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 AND # INDIVIDUAL # 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. Facility Person # 3 AND # 4 may not work in a child care position at the facility.

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, THERE WERE 6 CHILDREN PRESENT IN THE GROUP. THE YOUNGEST CHILD WAS ONE YEARS OLD AND WAS OBSERVED WITH STAFF PERSON # 1 AND A SEDCOND PERSON IDENTIFIED AS A VOLUNTEER. ( INDIVIDUAL # 1) THE CORRECT STAFF:CHILD RATIO IS 1:5.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b).

Noncompliance Area: ON JULY 5, 2017 DURING THE RENEWAL INSPECTION, LYSOL CLEANING SUPPLIES WERE IN THE BATHROOM CABINET UNDER THE SINK UNLOCKED AND ACCESSIBLE TO CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.