The Brat Pack

Noncompliance Area: An emergency contact person who was not a parent signed the six-month reviews for Child #1.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: Staff #1 obtained 2.5 annual training hours during the anniversary year of 9/28/18- 9/28/19 and Staff #2 obtained 5.5 annual training hours during the anniversary year of 2/1/19- 2/1/20.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: DHS FBI & PA child abuse clearance renewals for Staff #2 were obtained more than 60 months apart.

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

Noncompliance Area: Observed torn rest equipment with exposed foam.

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: The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file of Child #2 lacked the complete work address of the enrolling parent on the emergency contact form.

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

Noncompliance Area: The files of Children #3, #4, and #5 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. Child #3 had an emergency contact form and financial agreement reviewed on 10/1/17, 4/10/18, and 11/2/18. Child #4 had an emergency contact form and financial agreement reviewed on 10/5/17, 4/10/18, and 11/5/18. Child #5 had an emergency contact form and financial agreement reviewed on 10/4/17, 4/10/18, and 11/2/18.

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 facility lacked a posting of the telephone number of the nearest hospital, police department, fire department, ambulance, and poison control center by each telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Observed broken and/or loose fence wire at the corner of the house and behind the flower bed in the outdoor play space.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was stated that a parent's request for Child #2, an infant, to sleep in a position other than on their back was honored due to a medical condition. Medical documentation had not been provided by the parent.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Agreements for Child #3, 4 & 5 lacked the due date for fees.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The Agreement for Child #4, a school-ager, included incorrect arrival and departure times.

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

Noncompliance Area: The Emergency Contact Forms for Child #1, 2 & 5 lacked all of the addresses for individuals 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: Two tubes of diaper cream were observed to have expired dates stamped onto the crimps (12/16 & 4/16).

Correction Required: Medication shall be stored in accordance with the manufacturer`s or health professional`s instructions on the original label.

Noncompliance Area: Staff #1 was observed to place a soiled diaper into a plastic bag, sit it on the floor beside the child being diapered and wait until the end of the diaper change to discard the bag.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The last two health assessments in the file for Staff #1 lacks the name of the person for whom the assessments were conducted; therefore, it is unable to be determined for whom the health assessments were conducted. The health assessment, including the TB test, for Staff #2 was dated 77 days after the employee's listed start date.

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 disclosed that infants had been re-served from the same bottle for subsequent feedings.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Noncompliance Area: The facility lacked parent-provided written feeding schedules for three enrolled infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The file for Staff #2, hired on 11/1/16, lacks verification that initial Emergency Plan training had been conducted.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: The file for Staff #2, hired on 11/1/16, lacks copies of the original clearance requests for the PA State Police clearance dated 2/17/17, 108 days after the beginning of the provisional period. The completed FBI clearance was dated 3/6/17, 125 days after the beginning of the provisional period. No previous clearances were in the staff file.

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.