Tammy Powers Nest - Rural Valley PA Child Care Center

Noncompliance Area: The files for children #1 and #2 lacked an agreement that specified the date of the child's admission.

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessment in the file was dated 9/10/18.

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: The file for staff person #2, whom was hired as an aide on 7/29/19, lacked mandated reporter training that was completed within 90 days from her start date. The mandated reporter training in the file was dated 1/13/20. The file for staff person #3, whom was hired as an assistant group supervisor on 9/19/19, lacked mandated reporter training that was completed within 90 days from her start date. The mandated reporter training in the file was dated 4/4/20.

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: It was observed during the renewal inspection around 9:30am 9 preschool children were receiving care in the Gray Room for a period of 1 and 1/2 hours. The capacity of the room is 4 so the capacity of the room was exceeded by one preschool child.

Correction Required: When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space the number of children present in the space may not be more than twice the measured capacity of the space.

Noncompliance Area: in the outdoor playspace three toy shovels and two toy sifters were observed to be broken and cracked with rough edges, sharp corners, and pinch and crush points. In the outdoor playspace in the top middle of the black tunnel a crack was observed with pinch and crush points. In the outdoor playspace at the top of the orange slide a crack was observed creating pinch and crush points.

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: In the Green Room and the Gray room a written plan of daily activities was observed not to be posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The file for child #1 lacked an agreement form that specified the amount of the fee to be charged per day or per week.

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

Noncompliance Area: The file for child #1 lacked an agreement that specified the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The file for child #2 lacked emergency contact information that included the telephone number of 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 file for child #1 lacked emergency contact information that included the addresses and telephone numbers of the individual designated by the parent to whom the child may be released.

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: The Gray Room was observed not to have emergency contact information present for children receiving care 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: In the Gray Room it was observed that a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The file for staff person #4 lacked a health assessment that was updated within the past 24 months. The health assessment in the file is dated 6/30/17. The file for staff person #5 lacked a health assessment that was updated 24 months from the previous health assessment. The dates of the health assessments in the file were 6/15/17 and 8/9/19.

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: Staff person #1 lacked mandated reporter training within the first 90 days after her hire date on 9/10/18. The mandated reporter training was completed on 3/8/19. Staff person #2, whom was hired provisionally as an assistant group supervisor on 3/19/19, lacked proof of fingerprinting prior to working with children. The FBI Clearance is dated 5/3/19. The file for staff person #6, whom was hired provisionally as an assistant group supervisor on 9/5/19, lacked the receipt for proof of fingerprinting.

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 #5 may not work in a child care position at the facility.

Noncompliance Area: The file for staff person #1, whom was hired provisionally as an aide - cook at the facility, lacked a rap sheet attached to the FBI Clearance.

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 #1 may not work in a child care position at the facility.