Scribbles And Giggles Family Daycare

Noncompliance Area: Child #2 last had a physical on 1/25/19.

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 must contain initial and subsequent health reports.

Noncompliance Area: Child #1 has a physical and shot record that does not address the influenza vaccine.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.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: Child #4 did not have insurance policy number on his emergency contact info.

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: Children # 1, 2, 3, 4, & 5 did not have release persons' addresses and phone numbers on their emergency contact forms.

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: Child #1, a young toddler, date of admission 10/1/18, only has a shot record in his file and is missing the required physical exam.

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 must contain initial and subsequent health reports.

Noncompliance Area: Staff persons # 1, 2, & 3 all have physicals 24 months or older.

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: Facility did not have verification of current liability insurance on file.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: There was no verification that the operator provided a copy of the completed, updated child service report to the parent as specified in this regulation. (#3)

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). Revise and submit written policies and procedures to ensure that the parent receives a copy of the child service report.

Noncompliance Area: One child has been enrolled for more than 60 days and their record did not contain a current, up-to-date health report.

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current, up-to-date health report within 60 days of enrollment.

Noncompliance Area: One child has been enrolled for more than 60 days and their record did not include written verification of current up-to-date immunizations. In accordance with the Department of Health regulations, the child cannot return to care until written verification of current up-to-date immunizations have been obtained and submitted. (#2)

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code 27.77 (relating to immunization requirements for children in child care group settings). Submit a copy of the current up-to-date immunizations for the indicated child. The child will not return to care until written verification of current up-to-date immunizations have been obtained. We will obtain and submit written verification of the current up-to-date immunizations for the identified child.

Noncompliance Area: Emergency contact information in two children's records was not being updated every 6 months. (#1 and #3)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. The children's records have current information.

Noncompliance Area: One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. The form only had the parent's initials. (#5)

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One/several staff person's record did not contain written verification of annual minimum 6 hours of child care training. (#1)

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. Obtain and submit written verification of annual minimum 6 hours of child care training for the identified staff person.

Noncompliance Area: Two children's emergency contact information did not include the health insurance policy number. (#1 and #4)

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. Obtain the health insurance policy number for the identified child. Ensure that all childrens records include the health insurance information as specified in this regulation.

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months. (#3)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: Two facility person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. #1-past 24months) (#2-initial)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that health assessments are completed within the required timeframes.

Noncompliance Area: Two children's records did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#2 and #4)

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. Obtain and submit written verification of signed parental consents for the identified children as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One facility person's records did not contain verification of age. (#2.

Correction Required: A facility person`s record shall include verification of age. Obtain and submit written verification of age for the identified facility person. Ensure that all facility staff records contain written verification of age.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#2)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.