Minds In Motion Child Care Llc

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection cert rep observed the emergency plan did not include continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: During the renewal inspection cert rep observed a written document notifying the local traffic safety authorities of the location of the facility was not on file.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection cert rep observed the emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During the renewal inspection cert rep observed staff #1 and 2 did not have 12 clock hours of child care training on file.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.105(f)

Description: 2 feet apart

Noncompliance Area: During the renewal inspection cert rep observed during nap time the rest equipment did not have at least 2 feet of space on three sides.

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.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection cert rep observed child #2 emergency contact did not include the parents work address and phone number on file.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection cert rep observed the health insurance policy number was not on file for child #2.

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.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection cert rep observed the emergency contact information was not present in the child care space while the children was receiving care.

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.

Regulation: 3280.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection cert rep observed child #1 health assessment did not include current immunizations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the cert rep observed the shaken baby syndrome policy did not include the identification and prevention of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection cert rep observed staff #1 did not have emergency plan training on file.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the renewal inspection staff #1 did not have the initial health assessment within in 12 months prior to providing initial service on file.

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.

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: During the renewal inspection cert rep observed the emergency plan did not include a second evacuation location when the first evacuation location is not open.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection the cert rep observed the emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.26(b)/3280.26(d)

Description: Emergency plan/Plan posted

Noncompliance Area: During the renewal inspection cert rep observed the emergency plan was not updated at least annually and was not posted in the facility at a conspicuous location.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection the emergency plan was not sent to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection cert rep observed staff #3 did not have health and safety training on file.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection cert rep observed staff #2 did not have state police clearance and staff #3 did not have child abuse clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 and 3 may not work in a child care position at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 5-16-2024 during the Renewal inspection, protective receptacle covers were missing in the extension cord near the changing table.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On 5-16-2024 during the Renewal inspection, hand sanitizer was on the small shelf near the changing table.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: On 5-16-2024 during the Renewal inspection, the outdoor play space contained trash, weeds and a bin with old pots and pans.

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.

Regulation: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 5-16-2024 during the Renewal inspection, the kitchen door leading to the backyard/fire escape, was blocked by chairs and a wooden bar.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection on 4/26/23, while doing a walkthrough of the facility, Cert Rep observed that Child # 7 was in a pack n play labelled for another child.

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.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection on 4/26/23, while reviewing children's files, child # 3 did not have a child service report in file.

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).

Regulation: 3280.134(a)/3280.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During renewal inspection on 4/26/23, while doing a walkthrough, Cert Rep observed Staff# 2 changing the infants' diapers and did not wash child's hands or staff hands after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 4/26/23, while reviewing staff files, Staff #1 and Staff # 2 did not have the mandatory 1-hr health and safety training in file that was to be completed by 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection on 4/26/23, while doing a walkthrough, Child # 6's bottle was not labeled.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3280.178

Description: Transportation First Aid Kit

Noncompliance Area: During renewal inspection on 4/26/23, while doing a walkthrough of the facility's bus, the first aid kit was missing scissors, soap, tweezers, and tape.

Correction Required: A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During renewal inspection on 4/26/23, while reviewing staff files Ceret Rep observed the following: - Staff # 1 did not have 12 hours of childcare training in file - Staff # 2 had 5 hours of childcare training in file

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 4/26/23, while reviewing staff files, Cert Rep observed the following: - Staff # 3 listed as volunteer did not have FBI clearance in file

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # --3 may not work in a child care position at the facility. 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 #--- 3 may not work in a child care position at the facility.

Regulation: 3280.52(b)

Description: Similar age levels

Noncompliance Area: During renewal inspection on 4/26/23, while doing a walk through, Cert Rep observed Staff # 1 going back and forth to the kitchen to warm bottles for infants, and left Staff # 2 alone with 5 infants.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. The required staff: child ratios must be maintained at all times.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 6/21/22, CERTIFICATION REPRESENTATIVE DID NOT OBSERVE THE FACILITY'S POLICY AND PROCEDURE TO IDENTIFY THE PREVENTION OF SHAKEN BABY SYNDROME, ABUSIVE HEAD TRAUMA, AND CHILD MALTREATMENT.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 6/21/2022, CERTIFICATION REPRESENTATIVE DID NOT OBSERVE THE FACILITY'S SAFE ROUTES POSTED AT A CONSPICUOUS LOCATION IN THE CHILD CARE FACILITY.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION COUNDUCTED ON 6/21/2022, PROVIDER DID NOT HAVE DOCUMENTATION VERIFYING THAT ANNUAL EMERGENCY DRILLS ARE CONDUCTED AT THE FACILITY.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 6/21/2022, THE PROVIDER DID NOT SHOW VERIFICATION THAT THE FACILITY'S EMERGENCY PLAN WAS SENT TO THE LOCAL MUNICIPALITY AND TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 6/21/2022, CERTIFICATION REPRESENTATIVE DID NOT OBSERVE 12 ANNUAL CLOCK HOURS OF CHILD CARE TRAINING FOR STAFF PERSON #1 AND STAFF PERSON #2.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.31(f)(10)

Description: Age and training

Noncompliance Area: STAFF PERSON #1 HAS ACCEPTABLE PEDIATRIC FIRST AID/ CPR TRAINING IN AN APPROVED CURRICULUM; HOWEVER, THE TRAINER HAS NOT PROVIDED DOCUMENTATION THAT THEY ARE PQAS-CERTIFIFIED IN THAT TRAINING TOPIC.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #1 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 6/21/22, CERTIFICATION REPRESENTATIVE DID NOT OBSERVE TWEEZERS IN FACILITY'S FIRST-AID KIT.

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.

Regulation: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 6/21/22, CERTIFICATION REPRESENTATIVE DID NOT OBSERVE PROOF OF PURCHASE OF INTERCONNECTED SMOKE DETECTION DEVICE.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Noncompliance Area: During renewal inspection on 5/20/19, the thermometer in the refrigerator read 60 degrees

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: During renewal inspection on 5/20/19, while reviewing children's files Child# 1 had a physical completed on 8/23/18, but did not have an immunization record attached

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: during renewal inspection on 5/20/19 the facility had missing outlet covers

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

Noncompliance Area: During renewal inspection on 5/20/19 a bottle of Lysol was in the lower unlocked kitchen cabinet that was accessible to children

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: During renewal inspection on 5/30/18, cert rep observed rest equipment lacked 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.

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: During renewal inspection on 5/30/18, cert rep observed the emergency contact form in child 2's file lacked the address of the physician or medical care provider. The emergency contact forms in the files for children 5 & 6 lacked the phone number of the child's physician or medical care provider.

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: During renewal inspection cert rep observed file for child 2 lacked a health report.

Correction Required: A child's record must contain initial and subsequent health reports. 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: During renewal inspection on 5/30/18, cert rep observed the emergency contact forms for children 2, 4, & 5 lacked the required parental review and update once in a 6-month period or as soon as there is a change in the information. Child 2's agreement form also lacked the required parental review and update once in a 6-month period or as soon as there is a change in the information.

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.

Noncompliance Area: During renewal inspection on 5/30/18, cert rep observed staff 3 lacked a copy of requests for the PA State criminal history record and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

Correction Required: 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 #--- may not work in a child care position at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 6-12-17, CERT REP OBSERVED THE FILES OF CHILDREN #1, #3 AND #4 NEEDED TO HAVE FINANCIAL AGREEMENTS REVIEWED, UPDATED AND SIGNED AS THE PREVIOUS SIGNATURES WERE OLDER THAN 6 MONTHS. CHILDREN #3 AND #4 ALSO NEEDED TO HAVE EMERGENCY CONTACT INFORMATION REVIEWED, UPDATED AND SIGNED AS THE PREVIOUS SIGNATURES WERE OLDER THAN 6 MONTHS.

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.