Sunflower Sprouts Learning Center - Harveys Lake PA Child Care Center

Noncompliance Area: On 1/6/20 a renewal inspection occurred at the facility. A physical site review was conducted. Several pieces of play equipment in the outdoor play area were found to be not in good repair. Against the rear fence from the entrance, a step 2 little tikes slide was found cracked with holes at the pink attachments. These areas were sharp and accessible to children. This piece of equipment was found 2nd from the left side. A play house was found 1st from the left side that had a roof that was cracked at the top and at the door entrance of the play house. These areas were accessible to children. A large two piece little tikes piece of play equipment was found as you first enter the play space to the left. A pink crawl through connected the two pieces and this crawl through piece was cracked. Next to this piece of equipment at the entrance was an individual slide that the green flat part at the top of the slide was cracked were the children would sit to go down the slide. Two broken and rusty Tonka trucks were also found in this play space. Lastly, two boards on two seats of two picnic tables were found rotted exposing sharp wood and screws.

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: On 1/6/20 a renewal inspection occurred at the facility. A physical site review was conducted. The thermometer in the refrigerator was broken and an accurate temperature reading was unable to be assessed.

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: On 1/6/20 a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a health assessment dated for 11/8/17 in their file and this health assessment was not updated until 1/3/20. This health assessment was not updated every 24 months. Staff # 2 had a date of hire of 8/26/19 and the file did not have documentation of a health assessment and tuberculosis screening in the file until 9/19/19. Staff # 2 worked with children prior to this documentation being in the file. Staff # 3 had a date of hire of 10/7/19 and the file did not have documentation of a health assessment and tuberculosis screening in the file until 12/26/19. Staff # 3 worked with children prior to this documentation being in the 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.

Noncompliance Area: On 1/6/20 a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 2 had a date of hire of 8/26/19 and the file did not have documentation of a health assessment and tuberculosis screening in the file until 9/19/19. Staff # 2 worked with children prior to this documentation being in the file. Staff # 3 had a date of hire of 10/7/19 and the file did not have documentation of a health assessment and tuberculosis screening in the file until 12/26/19. Staff # 3 worked with children prior to this documentation being in the file.

Correction Required: An adult health assessment must include a physical examination. 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: On 1/6/20 a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 2 had a date of hire of 8/26/19. Staff # 2 began working with children on 8/26/19 also but did not submit their finger prints for the FBI clearance until 10/7/19. Staff # 2 was not hired correctly as a provisional hire. Staff # 3 had a date of hire of 10/7/19. Staff # 3 began working with children on 10/7/19 also but did not apply for the child abuse clearance until 10/29/19, the state police clearance until 10/10/19, submit their finger prints for the FBI clearance until 11/1/19, and did not apply for the NSOR clearance until 1/6/20. Staff # 3 was not hired correctly as a provisional hire.

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: On the date of this inspection, a physical site review was conducted. In the out door play area, a pink little tikes car was found with 4 broken wheels and a metal toy dump truck was found bent creating rough edges and rust was found.

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: On the date of this inspection, a review of the facility's diaper changing procedures was conducted. Staff # 6 was monitored and this staff did not wash their hands or the hands of the children after diapering. Staff # 6 stated they felt hand sanitizer was acceptable in place of hand washing.

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.

Noncompliance Area: On the date of this inspection, a review of the facility's diaper changing procedures was conducted. Staff # 6 was monitored and this staff did not wash their hands or the hands of the children after diapering. Staff # 6 stated they felt hand sanitizer was acceptable in place of hand washing.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 10/23/18. The file did not contain documentation that Staff # 1 had reviewed the emergency plan at the time of initial hire. Staff # 1 was working in ratio with a group of toddler children during this inspection.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 10/23/18 and the file was missing one letter of written reference. Staff # 1 was working in ratio with a group of toddlers during the inspection. Staff # 1 could not be appropriately qualified as a staff person as the file was missing a letter of written reference.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 2 has not had an updated staff evaluation completed in the file since1/2018. Staff file # 3 has not had an updated staff evaluation completed in the file since 12/2018. Staff file # 4 did not have documentation of a completed annual staff evaluation in the file and this staff has been employed with the facility more than 12 months. Staff file # 5 has not had an updated staff evaluation completed in the file and this staff has been employed with the facility more than 12 months.

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: THERE IS MULCH LESS THAN 1 INCH IN DIAMETER IN THE INFANT/YOUNG TODDLER OUTDOOR PLAY SPACE.

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: CHILD # 4 START DATE 9/8/16 DID NOT HAVE A FEE AGREEMENT SIGNED AND COMPLETED ON FILE UNTIL 10/6/16. CHILD # 2 START DATE 8/29/16 DID NOT HAVE A FEE AGREEMENT SIGNED AND COMPLETED ON FILE UNTIL 1/3/17.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility`s general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: STAFF MEMBER # 1 DID NOT HAVE A HEALTH ASSESSMENT CONDUCTED IN OVER 24 MONTHS FROM 12/23/14 THEN NOT AGAIN UNTIL 1/10/17. STAFF MEMBER # 4 DID NOT HAVE A HEALTH ASSESSMENT CONDUCTED IN OVER 24 MONTHS FROM 3/14/14 THEN NOT AGAIN UNTIL 5/3/16. STAFF MEMBER # 5 DID NOT HAVE A HEALTH ASSESSMENT CONDUCTED IN OVER 24 MONTHS FROM 10/6/14 THEN NOT AGAIN UNTIL 12/8/16.

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: THERE IS AN UNLABELED BOTTLE IN THE KITCHEN REFIGERATOR FOR A CHILD.

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