Stepping Stones Preschool - Elkland PA Child Care Center

Noncompliance Area: During the renewal inspection, the emergency contact for Child #1 was not present in the Infant Room where the child 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.

Noncompliance Area: During the unannounced inspection, the file for Staff #1, hired 7/26/19, did not contain a DHS required FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #1 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. Staff #1 may not work in a child care position at the facility.

Noncompliance Area: During the inspection, it was observed by video and verified that Staff #3 dragged Child #1 by his feet from a playhouse on the toddler playground to a gate leading to the preschool playground and tossed child through the gate into the preschool playground. The child was dragged approximately 21 feet.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: During the inspection, it was verified that Staff #3 dragged Child #1 by his feet from a playhouse on the toddler playground to a gate leading to the preschool playground and tossed him through the gate into the preschool playground. The parent was not given a written report of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: During the inspection, it was verified that Staff #3 was terminated for dragging Child #1 by his feet across the playground. Staff #1 and Staff #2 did not immediately report the incident to ChildLine as mandated by the CPSL until six days later when a video of the incident was viewed by the OCDEL Certification Representative.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.

Noncompliance Area: During the inspection, the file for Child #2 did not contain a review of the child's immunized status.

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

Noncompliance Area: During the inspection, the immunization record for Child #1 did not include any rotavirus vaccines; the immunization record for Child #3 did not include the 6-month rotavirus 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.

Noncompliance Area: On 1/24/19, Child #1 was bitten by another child at he facility. Parents of Child #1 were not provided with an injury report on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: During the renewal inspection on 10/18/18, the emergency contact for Child #2 and Child #4 did not include the address of the individual designated by the parent 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: During the renewal inspection on 10/18/18, a written plan, identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency, was not displayed conspicuously in the child care spaces throughout the facility including the young toddler room, older toddler room, Pre-k 1 and Pre-k 2 classrooms.

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: During the renewal inspection on 10/18/18, the file for Child #2, enrolled 8/1/18, did not contain an initial 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.

Noncompliance Area: During the renewal inspection on 10/18/18, safe pedestrian crossways, pick-up and drop-off points and bike routes had not been determined or communicated to the children and parents in writing nor posted at a conspicuous location in the child care facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: During the renewal inspection on 10/18/18, the operator did not have an individual record onsite for Child #1.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: During the renewal inspection on 10/18/18, the current certificate of compliance and a copy of the applicable regulations under which the facility is certified were not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office.

Correction Required: The facility's current certificate of compliance 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: During the renewal inspection on 10/18/18, the file for Staff #1, Staff #2 and Staff #3 did not contain the criminal history record certification form.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS. 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.