Smartkids Child Care And Learning Center - Washington PA Child Care Center

Noncompliance Area: A green plastic bin and a yellow plastic bin in the School Age Room, a clear plastic bin in the Young Toddler Room, a clear plastic bin in the Older Toddler Room, and a clear plastic bin in the Preschool room were observed to have cracks in the plastic, exposing the children to potential sharp edges and pinch points.

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 emergency contact form in the file for Child #1 lacked a work phone number for the enrolling parent.

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

Noncompliance Area: The emergency contact forms in the files for Child #1, #2, and #4 lacked information on 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: The emergency contact forms in the files for Child #1 and #4 lacked addresses for the designated release person(s).

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 emergency contact form and agreement in the file for Child #1 were reviewed on 01/24/2019 and 09/12/2019; more than six months passed between reviews.

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. 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: The file for Child #3 lacked documentation of a flu vaccination in the last 12 months, 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: A power strip near the computer in the School Age room was observed to be missing a protective receptacle cover; this room is used by children under the age of five.

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

Noncompliance Area: The first-aid kit in the Young Toddler Room was observed to be missing 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: 2nd Citation - On 9/10/2019, the exit from the infant room that exits to the hallway shared with the neighboring CVS was observed to be obstructed with crates and stick material belonging to CVS. Additionally, the door exiting the building at the end of the hallway was obstructed with crates and stock material belonging to CVS.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: In the school aged classroom one red smiley bucket containing bean bags was observed to be cracked down the side. This exposes the children in the classroom to rough edges and pinch and crush points. In the outdoor play space three tri-cycles being stored in the tall cabinets at the landing were observed to be lacking at least one cover on the handle bars exposing the children in care to rough edges and sharp corners.

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: In the school aged classroom underneath of the bulletin board containing a flower, were 4 chairs stacked on top of a children's table creating a falling hazard to the children in care. Also, in the younger toddler classroom one green chair was observed to be stacked on top of a bookshelf containing blocks, creating a falling hazard to the children in care.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Staff person #1 was observed walking two school aged children to the restroom and then walking back to the school aged classroom, leaving those 2 school aged children in the restroom without the presence of a staff person.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: In the Pre K room Staff person #9 and #11 were observed caring for a group of 15 preschool aged children. Staff person #9 stated that she was assigned the specific responsibility to supervise a group of 10 preschool aged children, but only named 9 children in her care. Staff person #11 was unable to identify that she was assigned the specific responsibility to supervise any children and did not know the names of any of the children in the group of 15 preschool aged children. In the school aged classroom staff person's #1 and #10 were observed caring for a group of 20 school aged children. Staff person #10 identified being assigned the specific responsibility to supervise a group of 10 school aged children but only named 9 school aged children. Staff person #1 was unable to identify being assigned the specific responsibility to supervise any children and was only able to name 3 of the 20 school aged children in the classroom. Additionally when asked how they assign children to their group staff person #10 stated that they have no set group of children whom they are assigned the specific responsibility to supervise.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: In the first aid cabinet in the school aged classroom, one bottle of medicated skin cream was observed not to be labeled from whom it is intended for.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The file for staff person #8 was observed not to contain documentation of a health assessment being conducted prior to employment.

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.