Stone Umc Childrens Center - Meadville PA Child Care Center

Noncompliance Area: The child file for child #3 contained a financial agreement form that lacked the admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The child file for child #1, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 3/1/17. The child file for child #2, who is a preschool aged child, contained a copy of their immunization status which lacked the Hep A vaccination.

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: The staff file for staff person #6, who has a start date working with children of 6/12/19, contained a health assessment that was dated 6/19/19 which was conducted after her start date working with children. The staff file for staff person #8, lacked an updated health assessment; the last health assessment on file is dated 9/18/17. The staff file for staff person #8, lacked an updated health assessment; the last health assessment on file is dated 2/10/17.

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: The staff file for staff person #6, who has a start date working with children of 6/12/19, contained a tuberculosis screening and the results were dated 6/19/19 which was conducted after her start date working with children.

Correction Required: 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: The child file for child #2 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period. The dates of the last two reviews were 11/30/18 and 10/23/19.

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: The staff file for staff person #4, who has a start date working with children as 4/29/19, lacked a valid State Police clearance as well as lacked a valid disclosure statement on file. The State Police clearance on file was a volunteer clearance and the disclosure statement on file was not signed by a witness. The staff file for staff person #8 lacked a valid disclosure statement; the disclosure statement that was on file was not signed by a witness.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 -- 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 #4--- may not work in a child care position at the facility.

Noncompliance Area: The staff file for staff person #1 lacked a written evaluation for 2019; the last written evaluation on file was dated 2/28/18. The staff file for staff person #2 lacked a written evaluation for 2019; the last written evaluation on file was dated 7/18/18. The staff file for staff person #5, who has a start date working with children as 10/12/18, lacked a written evaluation. The staff file for staff person #7, who has a start date working with children as 9/17/18, lacked a written evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The staff file for staff person #3, who is considered an assistant group supervisor, lacked documentation of 1 year of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: In Room 212 seven cots used for naptime were observed to be labeled with a number and not the name of a specific child for which it is to be used by.

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: In Room 211, at approximately 12:58pm during naptime, Staff person #5 was observed to be sitting at a table next to a toy shelving unit, with a height of about 36 inches, that was obstructing Staff person #5's view of one child who was sleeping on the opposite side of that toy shelving unit thus resulting in Staff person #5 not being able to properly see, hear, direct, and assess the needs of that one child.

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: The child file for child #3 contained a finanical agreement form that lacked the fee amount.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The child file for child #1, who has been enrolled in care since 4/16/18 and child #3, who has been enrolled in care since 6/11/18, lacked a completed child service report on file.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The child file for child #3 contained a financial agreement form that lacked the arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The child file for child #3 and #4 contained a financial agreement form that lacked the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The child file for child #3 contained a financial agreement form that lacked the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission.