Sunshine & Rainbows Day Care Center - Moosic PA Child Care Center

Noncompliance Area: The onsite portion of the inspection occurred at the facility on 7/29/20 and a review of staff files was conducted. Staff file # 5 had a health assessment dated for 10/24/17. Staff # 5 did not participate in another health assessment until 7/6/20. This health assessment was not updated every 24 months per regulation.

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: A renewal inspection occurred at the facility and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. The following staff have been employed at the center before 9/30/19. Staff # 1 did not obtain the NSOR clearance until 7/23/20 and Staff # 4 did not receive the NSOR clearance until 7/23/20. Staff # 1, and Staff # 4 were working with children during this inspection. The CPSL also requires clearances and mandated reporter training to be updated every 60 months. Staff # 1 had a state police clearance dated for 3/16/15 and was not updated until 5/1/20; a child abuse clearance dated for 4/9/15 and was not updated until 7/7/20; and an FBI clearance dated for 4/1/15 and was not updated until 7/13/20. Staff # 2 had a state police clearance dated for 3/16/15 and was not updated until 5/1/20; a child abuse clearance dated for 4/9/15 and was not updated until 5/1/20; and mandated reporter training dated for 3/2/15 and was not updated until 3/21/20. Staff # 3 had a state police clearance dated for 3/16/16 and was not updated until 5/1/20; and mandated reporter training that was dated for 2/2/15 and was not updated until 4/1/20. Staff # 2, and # 3 were working during this inspection. Staff # 6 had a provisional hire date of 9/30/19 and this file did not contain a child abuse clearance until 7/29/20. Staff #6 had worked after the provisional hire period without the file containing the completed child abuse clearance. Staff # 6 was working during this inspection.

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 5/8/19, a renewal inspection occurred. At that time child files were reviewed. Child file # 1 had a date of enrollment of 9/5/18 and the file was missing an initial health report. Child file # 2 had a date of enrollment of 9/1/17 and the file did not include an initial health report dated until 8/29/18. Child file # 3 had a date of enrollment of 9/5/18 and the file was missing 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.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: On 5/8/19, a renewal inspection occurred. At that time a review of children's files occurred. Child file # 3 had a date of enrollment of 9/5/18 and the file did not contain a review of the child's immunizations until 4/30/19.

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

Noncompliance Area: On 5/8/19, a renewal inspection occurred. At that time a review of children's files was conducted. Child file # 2 has a not had a statement that age-appropriate screenings recommended by the AAP have been reviewed since the last immunization record dated 8/23/17.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: On 5/8/19, a renewal inspection occurred. At that time a review of staff files was conducted. Staff file # 1 had a date of hire of 9/21/18 and the file did not contain a health assessment conducted until 2/5/19. This health assessment was not completed prior to Staff # 1 working with children. Staff # 1 was working with children on the date of this inspection.

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 5/8/19, a renewal inspection occurred. At that time a review of staff files was conducted. Staff file # 3 only contained one letter of written reference. The file was missing one letter of written references as required per regulation. Staff # 3 was working with children on the date of this inspection.

Correction Required: 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 5/8/19, a renewal inspection occurred. At that time a review of staff files was conducted. Staff file # 2 had a date of hire of 11/7/18 and this staff did not complete the mandated reporter training until 3/12/19. This mandated reporter training was not completed within 90 days of the staff's hire date per regulation.

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 review of child files was conducted. Child # 1 has a date of birth of 8/31/16 (young toddler). Child file # 1 had a health report dated 6/28/17 but was missing the 6-month updated health report.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 6/5/17 but staff # 1 did not complete mandated reporter training until 11/30/17, which was over the initial 90 days of employment with this facility. Staff file # 3 had a date of hire of 10/27/17 but staff # 3 did not complete mandated reporter training until 4/4/18, which was over the initial 90 days of employment with this facility. Staff file # 2 had a hire date of 11/17/17 but staff # 2 did not complete mandated reporter training until 2/26/18, which was over the initial 90 days of employment with this facility. Staff file # 2 was also missing a completed FBI clearance. Staff # 2 was not hired correctly as a provisional hire as the file was missing documentation that the staff had submitted the fingerprints for the FBI clearance. Staff # 2 was working in ratio with children at the time of this inspection.

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. Facility Person #2 may not work in a child care position at the facility.

Noncompliance Area: On the date of this inspection, a physical site review was conducted of the facility. In the 3-4 year old classroom closet a Swiffer wet jet mop was found with cleaning solution in it and accessible to children. The gate was not up blocking entrance to the kitchen and the kitchen door was left open to the children in the 3-4 year old classroom. In the kitchen under the sink and in the kitchen closet cleaning materials were stored accessible to children. In the desk in the preschool classroom, accessible to children was lotion and batteries. Also in the preschool room was a pink back pack that contained hand sanitizer. All items found indicated keeping out of reach of children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: On the date of this inspection, a physical site review of the facility was conducted. Staff # 3 was observed cooking in the kitchen and the stove was on preparing food for lunch. The kitchen door was open and there was no child gate in use restricting the toddlers in the adjacent room from entering the kitchen. This Inspector asked Staff # 3 if when cooking is the gate and kitchen door left open. Staff # 3 indicated yes.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: THE BROWN WATER STAND IN THE PRESCHOOL 2 ROOM HAS SHARP POINTS ON THE INSIDE DOORS OF THE STAND ACCESSIBLE TO THE CHILDREN. THE HOOP ON LITTLE TYKES BASKETBALL HOOP IN THE INFANT/TODDLER OUTDOOR PLAY SPACE IS TORN IN MULTIPLE SPOTS. THE COVER FOR THE LARGE SAND BOX IN THE OUTDOOR SCHOOL AGE PLAY SPACE IS TORN IN MULTIPLE SPOTS.

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: THERE IS A BOX OF LATEX GLOVES IN A CHILDS CUBBY ACCESSIBLE TO THE CHILDREN. THERE ARE THUMB TACKS ON A SHELF ACCESSIBLE TO THE CHILDREN. THERE IS A HAIR TIE LESS THAN 1 INCH IN DIAMETER IN THE OUTDOOR INFANT/TODDLER PLAY SPACE ACCESSIBLE TO THE CHILDREN.

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: THERE IS NO FEE AMOUNT FOR CHILD # 1 IN THE CHILD'S FEE AGREEMENT.

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