Sweet Mom Home Daycare - Braddock PA Group Child Care Home

Noncompliance Area: The file for child #1 included evidence that the child's last flu shot was almost 2 years ago and there was no written exemption by a parent on file.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: The last health assessment in the file for staff person #1 was dated more than 24 months ago.

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 facility's liability insurance had expired.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: Based on conversation with the operator, the child care program did not have a written health and safety plan that aligns with CDC guidance to minimize the risk of COVID-19.

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

Noncompliance Area: Based on conversation with the operator, staff person #3 had not completed Mandated Reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: 3rd citation: When reviewing the file for staff person #2, who began working at the facility on 2/28/20, there was not an NSOR certificate and the facility did not have an approved waiver for provisional hire. Previously cited on 9/11/19.

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: ***3rd citation: At approximately 1:10 pm, staff person #1, the operator and only staff person inside the facility, answered the front door. Upon entering the facility, 5 children were observed in the front room, a combined group of 1 infant, 3 older toddlers and 1 preschooler. At this point, staff person #1 waived to someone outside the facility and staff person #2 returned to the facility. Based on conversation with both staff, staff person #2 was about to take a smoke break on the corner outside the facility. Previously cited on 12/5/19.

Correction Required: The operator will work with the ELRC to develop a facility-specific supervision and ratio policy, including specific information regarding: Staff breaks/lunches in relationship to maintaining proper ratio Nap time Bathrooming Transition times (such as moving outside/inside, departure/arrival of children and change in staff) The policy will be sent to the certification representation for review. After approval by the cert rep, the policy will be discussed in detail with all current and new staff persons. Each staff will sign and date a copy of the policy to demonstrate understanding of the policy, which will be kept in their file at the facility. The policy will also be posted in all rooms of the facility, in an area where parents can see it.

Noncompliance Area: Both diaper pads have several tears in them, exposing the foam inside to children who still place objects in their mouth.

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: At approximately 10:30 am, upon entering the facility, staff person #1, the operator, was observed speaking with a perspective parent at the desk in the main room. There were no children in the main room. Around the corner, 4 children were observed unsupervised in the rear room. An adult's voice was heard coming from the bathroom. After the certification representative tapped on the closed bathroom door, staff person #2 opened the door and was observed in the bathroom with a 5th 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 service report in the file for child #4 was dated more than 6 months after the child's first day of attendance.

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 3280.124(f).

Noncompliance Area: The emergency contact information in the file for child #2 did not include the phone number for the child's physician.

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: The emergency contact information in the file for child #2 did not include written parental consent for emergency medical care or minor first aid techniques by staff.

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 emergency contact information in the file for child #2 did not include addresses for two of the release people.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: There was no emergency contact information in the gross motor room for child #2, observed playing in the space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The last update in writing by a parent on the emergency contact information and the agreement form in the file for child #3 was dated more than 6 months ago. The last update in writing by a parent on the agreement form in the file for child #4 was dated more than 6 months ago.

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 information 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.