Rhyming Thyme Inc - Aliquippa PA Child Care Center

Noncompliance Area: Observed in the Green/Yellow Room: Cracks in the lid of the clear toy bin. This creates sharp edges and possible pinch points for children in care.

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: Observed less than two feet of space between two cribs in the left Infant Room, where Child #3 was napping. Observed less than two feet of space between three cribs in the Right Infant Room, where Child #2, #4 and #5 were napping.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The most recent Child Service Reports in the file for Child #7 exceeded 6 months between reports. December 2018-November 2019. The most recent Child Service Report in the file for Child #7 is current.

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 Emergency Contact Binder in the Purple/Green Room did not include an Emergency Contact Form for Child #1 who was receiving care in this area. The Emergency Contact Binder in the Right Infant Room did not include an Emergency Contact Form for Child #2 who was receiving care in this area.

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: The initial health report in the file for Child #6 was conducted more than 60 days after the child's first day in attendance. This health report is 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 file for Child #3, an infant, did not include an updated health report conducted within the past 6 months.

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

Noncompliance Area: The most recent immunization records in the files for Child #3, #7 and #8 were not in accordance with the schedule recommended by the ACIP. Child #3: 11 months old: Missing 3rd DTAP and 3rd PCV13. Child #7: No record of flu shot. Child #8: No Flu Shot within past 12 months (October, 2018).

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 most recent health assessments in the files for Staff Person #3 and #4 exceeded 24 months between assessments. The initial health assessment in the file for Staff Person #7 was conducted after the staff person's first day providing child care. The most recent health assessments in the files for all three staff persons are current.

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: Observed two pairs of adult scissors, which were accessible to children, on the teacher's desk in the first floor School-Age Room.

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

Noncompliance Area: The most recent annual fire safety trainings for the facility were conducted more than 12 months apart: 7/20/18-8/27/19. The most recent fire safety training for the facility is current.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. 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 and Child Abuse clearances in the file for Staff Person #1 exceeded 60 months between clearances: State Police: 9/13/14-1/6/20. Child Abuse: 9/24/14-1/6/20. The most recent FBI Clearance in the file for Staff Person #1 had not been conducted within the past 60 months: 9/6/14. The FBI Clearance in the file for Staff Person #6, with a start date of 6/11/19, was on the PDE Form.

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 and #6 may not work in a child care position at the facility.

Noncompliance Area: The most recent written evaluations in the file for Staff Person #2 were conducted more than 12 months apart: 6/10/18-7/23/19. The first written evaluation in the file for Staff Person #5 was conducted more than 12 months after the staff person's start date: Start Date: 6/20/18. Evaluation: 7/23/19. The most recent evaluations in the files for both staff persons are current.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Observed in the Preschool/School-Age Playground: Splintering wood on the left post, a section separating on the left side, and three protruding nails in the rear section of the wooden fence surrounding the play area. Holes, which creates a potential trip hazard, in the rubberized play surface where poles had been removed. Observed in the left Infant Room: Floor register separating from the wall, which creates a potential pinch point.

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: Observed flaking paint on the wooden door under the patio and under the deck floor ceiling in the Preschool/School-Age Playground. Observed flaking, peeling paint on the purple concrete blocks on each side of the steps leading to the Toddler Play Area.

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

Noncompliance Area: The waste receptacle in the boy's bathroom lacked a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.