St Josephs Hill Lutheran Church Day Care Cente - Boyertown PA Child Care Center

Noncompliance Area: A renewal inspection was conducted on 9/28/2020. At that time, a cracked toy sink was observed in the older toddler room presenting a pinching hazard. A cracked playhouse and cracked lid to a toy bin was observed on the young playground.

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: A renewal inspection was conducted on 9/28/2020. At that time, a plastic bag was observed in a child's cubby in the older toddler room. The plastic bag was accessible to the older toddlers in the classroom.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: During the renewal inspection, the file for Facility Person #1 was reviewed. At that time, Facility Person #1 did not have TB test results on file that had been completed within 12 months of the date of hire.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: During the renewal inspection, the file for Facility Person #1 was reviewed. At that time, Facility Person #1 did not have an FBI Clearance through DHS on file at the facility. Facility Person #1 date of hire: 1/27/20, PDE FBI Clearance: 12/1/15. The Child Protective Service Law requires all new staff to have an FBI Clearance conducted through DHS on file at the facility at the onset of their employment.

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 may not work in a child care position at the facility until a DHS FBI Clearance is on file at the facility.

Noncompliance Area: Multiple bicycle seats in the shed were observed to be torn, exposing the inner foam of the seats. Old, broken bicycles and equipment were observed behind the same shed, with rusted, sharp areas, accessible to children.

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: During the renewal inspection on 9/30/19, the Infant and Toddler classrooms were observed to be too dark at nap time for the staff persons to provide proper supervision. The rooms were too dark to see the location and coloring of the children's faces who were present and napping.

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.

Noncompliance Area: Through a review of children's files at the facility, it was observed that the facility was keeping the original agreement, and parents were receiving the copy.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The emergency contact form for Child #1 did not contain the address or phone number of the child's physician or source of medical care. The emergency contact form for Child #4 did not contain the phone number of the child's physician or source of medical care. The emergency contact forms for Child #1 and Child #3 do not contain completed insurance policy information.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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 #2 does not contain the address of the individuals to whom the child may be released.

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 written plan identifying the means of transporting a child to emergency care and staffing provisions was not posted in the Big Room.

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: Child #3 began attending the facility on 1/30/18, but a health report was not provided to the facility until 4/9/18.

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.

Noncompliance Area: The health assessment and immunization report for Child #3 does not show any proof of vaccination against the flu, and a letter of exemption was not observed in the file.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: Three diaper creams were observed in the infant classroom, but parental permission to apply these medications were not on file. Infant tylenol in the office, labeled for a specific child, was found to have observed in 07/2019.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: Staff #1, who began working at the facility on 2/11/19, did not obtain a health assessment until 2/28/19, and did not obtain TB test results until 2/28/19. Facility person #9 began volunteering at the facility on 11/16/18, but did not obtain TB test results until 11/19/18. Facility person #10 began volunteering at the facility on 6/17/19, but did not obtain TB test results until 7/24/19. The following existing staff persons did not update their health assessments within the required 24-month period: #4, #5, #6 and #7. Staff #8 has a health assessment on file dated 10/24/16, but an updated has not yet been obtained.

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.

Noncompliance Area: Staff #1 began working at the facility on 2/11/19, but the state police record was not requested until 3/7/19, the child abuse clearance was not requested until 2/18/19 and the FBI fingerprinting was not completed until 3/9/9. Staff #2 began working at the facility on 9/24/18, but a state police clearance was not requested until 9/26/18, and FBI fingerprinting was not completed until 9/26/18. The file for Staff #3, who began working at the facility on 8/26/19, did not have a completed certificate for the state police clearance on file. Facility Person #3, a volunteer who began at the facility on 11/16/18, did not request the state police clearance until 1/18/19 and did not request the child abuse clearance until 1/21/19. Facility person #4, a volunteer who began at the facility on 6/17/19, did not request the state police clearance until 6/24/19, and did not request a child abuse clearance until 6/25/19.

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.