Stopyra Family Daycare

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The file for child #1 was observed to contain an emergency contact form that did not include information if any on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

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 of CRNP, which is needed in an emergency situation.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: The facility was observed to have a pet file for a cat named Shadow that lacked a veterinarian's certificate of current rabies immunization as evidenced by a rabies certificate with an expiration date of 08/23/2021 present in the file.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #3 was observed to lack the Department's approved form (Child Service Report) providing information to the family about the child's growth and development in the context of the services being provided.

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 § 3290.124(e).

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The files for children #2 and #3 were observed to lack the dates of application, admission and withdrawal of the child.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The files for children #2 and #3 were observed to contain Emergency contact forms that lacked written consent signed by a parent for emergency medical care

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The files for children #2 and #3 were observed to contain emergency contact forms that failed to contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.24(a)(3)

Description: Contact when arises

Noncompliance Area: The facility was observed to have an emergency plan that lacked to provide a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3290.24(a)(4)

Description: Contact when ended

Noncompliance Area: The facility was observed to have an emergency plan that did not provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility was observed to have an emergency plan that provides for accommodations of children with disabilities, and children with chronic medical conditions but did not provide for accommodations of infants and toddlers.

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

Regulation: 3290.64(b)

Description: Toxic use- no contamination

Noncompliance Area: A tube of Crest for kids' toothpaste labeled "keep out of the reach of children" was observed to be laying on the bathroom vanity fully accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The facility was observed to have a first-aid kit that failed to contain tape.

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: 3290.77

Description: Glass

Noncompliance Area: The facility was observed to have French doors in the child care space that lacked a visual strip, or other visual identification placed on the glass.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: Observed child file #1 and #2 contained most recent health reports which were dated more than 24 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Observed the facilities emergency plan did not contain a Continuity of Operations section.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: Observed the ceiling vent by the bathroom used by children needed to be cleaned.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Observed the documented fire drills revealed that three times in the previous 12 months the fire drills were completed more than 60 days apart.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed the facility did not have an updated pack n play assignment list specifying the name of the child to their assigned pack n play.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: Observed child file #1 and #2 contained most recent health assessments which were dated more than 16 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Observed the facility did not provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has completed the approved pediatric first aid and cpr training with an approved trainer after the 4/29/22, ninety day requirement.

Correction Required: Staff persons shall complete professional development in the topic 3290(g)(10) within the 90 days concluding on 4/29/22.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet, which did not have a protective receptacle cover, by a pack n play in the child care space.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Observed the documented fire drill log revealed that 2 times within the previous 12 months that fire drills were conducted more than 60 days apart.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: 2nd Citation. Previously cited on 7/13/21. On 9/8/21 the facility lacked evacuation routes posted in a conspicuous location on each floor. The facility had an evacuation route posted on the first floor but not in the basement or 2nd level.

Correction Required: Evacuation routes are posted in a conspicuous location on each floor of the facility.

Noncompliance Area: On 07/24/2020, the emergency contact information for children #1 and #2 lacked the complete address of the physician or source of medical care.

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: On 07/24/2020, the emergency contact information for child #1 lacked the complete work address and telephone number of the enrolling parent. The emergency contact information for child #2 lacked the complete work address of the enrolling parent.

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

Noncompliance Area: On 07/24/2020, the emergency contact information for children #1 and #2 lacked the insurance policy number.

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.

Noncompliance Area: On 07/24/2020, the health report for child #3 dated 07/30/2019, lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease; the box was left unchecked.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: On 07/14/2020, staff person #1 was observed working at the facility with children in care without current first-aid training. On 07/22/2020, the file for staff person #1, lacked current first-aid training by a professional; the most recent pediatric first-aid and CPR was completed on 09/23/2017 and expired on 09/2019.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable. One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: On 07/14/2020, observed a bottle of sunscreen labeled "Keep out of Reach of Children" on the table located on the patio in the outdoor space, which 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: On 07/14/2020, observed peeling paint on the lower threshold of the door frame located on the screened patio which leads to the outdoor play space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Observed 3 rest mats and a Pack 'N Play with less than 2 feet of space on three sides while children were napping in the living room.

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: The files for children #1 and #2 lacked an update by the parent of the emergency contact and financial agreement at least once every 6 months. The emergency contact and financial agreement for child #1 includes documentation of a recent review on 07/01/2019, with previous reviews documented on 01/01/2019 and 06/11/2018. The emergency contact and financial agreement for child #2 includes documentation of a review on 01/04/2019 and 06/11/2019.with no additional reviews documented.

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 informationA 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 #1, a preschooler at the time the health report was due, lacked an updated health assessment at least once every 12 months. The file contained a current health report dated 10/15/2018 with the previous health repot dated 08/31/2017.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The file for staff person #1 lacked updated DHS clearances within 60 months of the previous clearances. The file contained a current PSP clearance dated 07/01/2019 with the previous PSP clearance dated 02/20/2014, a current Child Abuse Clearance dated 07/08/2019 with the previous clearance dated 01/30/2014, and a current FBI clearance dated 07/02/2019 with the previous FBI clearance dated 02/10/2014. The file for household member #2 lacked updated DHS clearances within 60 months of the previous clearances. The file contained a current PSP clearance dated 07/01/2019 with the previous PSP clearance dated 02/20/2014, a current Child Abuse Clearance dated 07/09/2019 with the previous clearance dated 01/30/2014, and a current FBI clearance dated 07/09/2019 with the previous FBI clearance dated 02/10/2014.

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.

Noncompliance Area: Observed a toddler in the facility place a toy in it's mouth and throw the toy onto the floor, the toy was not removed to be rinsed and sanitized before being used by another child.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Noncompliance Area: On 09/11/2018, observed an infant in care who lacked age appropriate rest equipment at the faciliy. When asked where the infant sleeps, staff person #1 stated child #5 is held while sleeping or naps in the Rock 'N Play Sleeper; according to staff person #1 On 09/11/2018, observed child #5, an infant in care who lacked age appropriate rest equipment was not present at the family facility. When asked about where the infant sleeps, staff person #1 stated child #5 is held when sleeping or naps in the Rock 'N Play Sleeper; according to staff person #1 child #5 only sleeps for approximately 15 minutes at a time. Staff person #1 also stated the parent requested child #5 sleep in an upright position due to medical conditions; the file for child #5 lacked documentation in a statement signed by a physician, physician's assistant or CRNP. On 10/16/2018, at approximately 2:20 pm, observed child #5 sleeping in a Rock 'N Play Sleeper. According to Staff person #1, the infant was placed in the Rock 'N Play Sleeper while they went to use the restroom. Staff #1 stated child #5 was awake at the time she placed them into the Rock 'N Play Sleeper and that she wasn't gone long.

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.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file for child #5 lacked an agreement with information on the services to be provided to the family and the child prior to the child's first day of care on 09/04/2018. The files for children #1, #2 and #3 lacked a completed child service report with information about the child's growth and development at least once every 6 months. The files for children #1 and #2, with an enrollment date of 02/20/2017, have child service reports dated 07/05/2017 and 03/04/2017 with no additional child service reports on file. The file for child #3, with an enrollment date of 08/25/2016, lacked any child service reports on 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 3290.124(e).

Noncompliance Area: The facility lacked an emergency contact form with emergency contact information for child #5 prior to the child's first day in care on 09/04/2018.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The file for child #5 lacked written consent signed by a parent for emergency medical care prior to their first day of care on 09/04/2018.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The file for child #4 lacked a review of the emergency contact form and agreement for at least once every 6 months. The most recent review was documented on 12/01/2017.

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 informationA 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: Observed vitamins in a weekly pill container and a bottle of migraine medication on the end table located in the corner of the living room next to the sofas which were accessible to the children in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Staff person #1 did not ensure that child #4 washed their hands after using the bathroom. Staff person #1 commented on how difficult it is to get child #4 to wash their hands, even at home.

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

Noncompliance Area: The file for child #5 lacked a written statement by the parent giving the formula and feeding schedule.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The operator has not established an individual record for child #5 prior to their first day in care on 09/04/2018.

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

Noncompliance Area: The file for child #5 lacked signed parental consent for the administration of minor first-aid procedures by facility staff prior to their first day of care on 09/04/2018.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The facility lacked a copy of the applicable regulations for a family child care home posted in a conspicuous location used by parents with instructions for contacting the regional day care office posted in the same location.

Correction Required: The facility's current certificate of registration 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: The facility lacked a copy of the emergency plan posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Observed an electrical outlet in the living room on the wall to left of the TV and in the dining room to the left of the entrance to the kitchen which lacked protective receptacle covers and were accessible to toddler and preschool age children.

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

Noncompliance Area: Observed a bottle of Lysol hydrogen peroxide cleaner hanging on the towel bar located in the bathroom which was accessible to the preschool age children in care.

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: The facility lacked an emergency plan.

Correction Required: The facility shall have an emergency plan.

Noncompliance Area: Observed bolts protruding into the outdoor play space on the fence creating sharp edges. Observed several bolts protruding were up to 2 inches in length.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.