Shamila Barry Family Child Care Home - Chambersburg PA Family Child Care Home

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full address of the release people.

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 files for children #2 and #3 lacked the names for the persons designated by the parent to whom the child may be released on the agreement form.

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 #2 lacked the name address and telephone number of the child's physician or source of medical care on the emergency contact form.

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 file for child #2 lacked information for health insurance coverage and the policy number on the emergency contact form.

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: The file for child #3 lacked the addresses of the individuals designated by the parent to whom the child may be released on the emergency contact form.

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 #1, with an initial start date of 10/02/2018, lacked an initial health report dated within 6 months prior to the first day of attendance at the facility for a young toddler; the file contains a health report based on a Well Child Check dated 03/30/2018 signed by the physician on 10/30/2018 with a notation that the child missed their 9 month and 12 month Well Child Check.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

Noncompliance Area: The file for child #4 lacked an updated health report at least once every 6 months for a young toddler; the file contains an initial health report dated 09/17/2018 with no additional health reports on file.

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: The file for child #1, a 6 month old, included a record of the child's immunization status which lacked a 4th dose of DTap, a 3rd dose of Hib, a MMR, Varicella, a 4th dose of Pneumococcal, a Hepatitis A and an influenza immunization. The file for child #4, 3 year old, included a record of the child's immunization status which lacked a current influenza immunization.

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.

Noncompliance Area: The facility lacked a posting of the emergency plan in a conspicuous location.

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

Noncompliance Area: The file for staff person #1 lacked renewed first-aid training prior to the expiration date of the previous certification; the file contains current first-aid and CPR training completed on 03/02/2019 with the previous certification dated 05/2016 - 05/2018.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: Observed broken plastic lattice on the bottom of the white fencing surrounding the outdoor play space creating sharp points. Observed a fence post on the gate of the white fencing surrounding the outdoor play space which was missing a cap. Observed a loose cap on the fence post next to the porch with rough edges on the bottom of the cap.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: The health reports for Child #1, #2 and #3 lacked 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 statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The facility lacked a copy of the current applicable regulations under which the facility is certified including instructions for contacting the appropriate regional day care office.

Correction Required: The facility's current certificate of registration 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: The rest cots at the facility lacked a label for the use of a specific child. The cots were numbered but lacked a chart indicating which number is assigned to each child in care.

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: The file for individual #2 (a member of the household over the age of 18 who resides at the facility at least 30 days in a calendar year) lacked a copy of a signed disclosure statement, Pennsylvania state police clearance, child abuse clearance and FBI clearances as required by the CPSL.

Correction Required: At renewal, the legal entity shall submit clearances required by the CPSL for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year if the individual attained 18 years of age following the date of the previous application for a registration certificate.The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).