Susan Wheeler Group Home Day Care - Mc Kean PA Group Child Care Home

Noncompliance Area: The health assessment on file for child #1 did not included a statement from the physician that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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: There was no documentation of a current influenza vaccine or Hepatitis A vaccines on file for child #1. There was no documentation of a current influenza vaccine on file for child #2.

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 mandated reporter training completed by Facility Persons #1 and #2 were each completed more than 60 months prior to the inspection.

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

Noncompliance Area: There was an uncovered outlet on a wall next to a packnplay in the downstairs room on the right.

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

Noncompliance Area: There is mulch (with pieces less than an inch in diameter) under the embedded equipment in the yard/outdoor playspace. According to staff statements, all children in care, including infants and toddlers, receive care in the yard.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: There was a bag of empty plastic bags hanging from the railing running along the steps from the first floor to the basement, where toddlers were receiving care, accessible to children still placing objects in the mouths..

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 were two cots and three packnplays in use in the downstairs child care spaces not labeled with the names of the children using them.

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: There were two cots and three packnplays in use in the basement child care spaces without at least 2 feet of space on three sides due the placement of the rest equipment and toys and equipment next to the rest equipment.

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: At approximately 12:30 PM, a young school-age child was observed to be in the kitchen with no staff present in the kitchen with him. At approximately 12:40 PM, Facility Person #2 was observed positioned at the bottom of the steps in the basement, between the two downstairs child care spaces. There were 2 young toddlers and a preschooler in the room to the right of the stairs, and a young toddler and an older toddler in the room to the left of the stairs. There were no other staff persons in either of the child care spaces to supervise the children in the spaces. At approximately 1:30 PM Facility Person #2 was observed supervising 3 young toddlers, an older toddler, and a preschooler in the downstairs room on the right. The children were resting in cots and on packnplays. There was insufficient lighting in the room to see the children.

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: There were sharp knives in the kitchen in reach of children in care - on the back of the counter in a knife block and in an unlocked drawer.

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

Noncompliance Area: At approximately 12:30 PM, a young school-age child was observed to be in the kitchen with no staff present in the kitchen with him.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: At approximately 12:30 PM, Facility Person #1 was supervising an infant, an older toddler, a preschooler, 2 young schoolagers and an older schoolager in the front room.At approximately 12:40 PM, Facility Person #2 was observed positioned at the bottom of the steps in the basement, between the two downstairs child care spaces. There were 2 young toddlers and a preschooler in the room to the right of the stairs, and a young toddler and an older toddler in the room to the left of the stairs. There were no other staff persons in either of the child care spaces to supervise the children in the spaces.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b).

Noncompliance Area: At approximately 12:30 PM, Facility Person #1 was supervising a total of 6 children (an infant, an older toddler, a preschooler, 2 young schoolagers and an older schoolager) in the front room which has a measured maximum capacity of 5 children.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: There was an uncovered outlet on the wall near the floor in the living room, adjacent and open to the kitchen where children in care eat meals.

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

Noncompliance Area: There was a small area of damaged plaster on a basement wall, at the bottom of the steps.

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