Tender Care Learning Centers-meadowlands - Washington PA Child Care Center

Noncompliance Area: The files for Child(ren) #1, #2, #3, #5, and #6 contained documentation of emergency contact form and financial agreement reviews on 12/30/2019; more than six months have passed since the information was last reviewed by the parents.

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.

Noncompliance Area: The file for Child #4, admission date 02/08/2017, contained one health assessment dated 06/25/2018; lacking documentation of a health assessment within 60 days following the first day of attendance at the facility.

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.

Noncompliance Area: The file for Facility Person #1 contained health assessments dated 04/2/2018 and 06/26/2020; more than 24 months passed between health assessments.

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: On 3/1/2019, one toy bin containing play kitchen supplies located in the preschool 2 classroom was observed to be cracked along the edges exposing the children to rough edges, sharp corners and pinch and crush points. Also, in the preschool 2 classroom a bolt was observed to be exposed on the door to the play oven.

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 3/1/2019 and 3/4/2019, the agreement form on file for children #3, #4 and #7 were observed not to contain complete documentation of the person's whom are designated by the parent for the child to be released to.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: On 3/4/2019, the emergency contact form on file for child #7 was observed not to contain complete work information for the child's enrolling parent/guardian.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: On 3/1/2019 and 3/4/2019, the immunization records on file for children #2, #3, #5, #6 and #7 were observed not to contain documentation of the children receiving an influenza vaccine within the last 12 months as recommended by the ACIP.

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: On 3/1/2019, medication stored at the child care facility for child #1 was observed not to contain written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: The refrigerator located in the toddler 1 classroom was observed not to contain an operable thermometer.

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: The file for staff person #1 was observed not to contain documentation of a TB test being conducted within 12 months prior to the date of hire. This is evidenced by documentation of the TB test on file for staff person #1 being dated 9/2/2017 and the date of hire for staff person @1 being 9/18/2018.

Correction Required: 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.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: Damaged plaster was observed in the following locations; preschool 2 classroom in the dramatic play and reading corners, in the preschool 1 classroom in the block center and underneath of the paper towel dispenser, in the pre k room in the reading corner, and in the school aged room outside of the left restroom door.

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

Noncompliance Area: The emergency contact form on file for children #1-#3 were observed not to have signed written consent for emergency medical care or administration of minor first aid. Parent initials were obtained in their place.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for children #3 - #8 were observed to either not have on file documentation of a child service report or documentation of a chld service report being completed with in the last six months.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The agreement on file for children #2 and #6 were observed not to have on file documentation of the children's date of admission.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: The initial health report on file for child #2 a preschool aged child in care was observed to have been completed more than 1 year prior to the child's first day of attendance at the facility.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.