The Childrens Garden Of St Johns Lutheran Churc - Camp Hill PA Child Care Center

Noncompliance Area: Plastic bags were observed in the Young Toddler 2 room on low shelves in multiple locations throughout the room, accessible to children who are still placing objects in their mouths. Pom poms, with a diameter of less than an inch, were also observed in the Young Toddler 2 room, accessible to children. A plastic bag was observed in the Young Toddler 1 room, next to the changing table, accessible to children who are still placing objects in their mouths. ALL CORRECTED ON SITE

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: The file for child #2 (enrollment date 1/2/18) included an initial health assessment dated 5/9/18. The file for child #3 (enrollment date 7/24/18) included an initial health assessment dated 10/25/18. These health assessments were both obtained past the initial 60 days of care.

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: It was observed that the Loratadine for child #1 was not labeled with child's name. CORRECTED ON SITE

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The file for staff person #1 (start date 9/3/19) included an initial health assessment and TB test dated 10/7/19.

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.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.

Noncompliance Area: The file for staff person #2 (hire date 4/8/19) included an FBI clearance dated 4/19/19, a State Police clearance dated 4/18/19 and a Child Abuse clearance dated 6/28/19, all obtained after starting work in a child care position at the facility with provisional hire paperwork dated the same as the clearances. The file for staff person #3 (hire date 7/2/19) included a State Police clearance dated 8/27/19, with no provisional hire paperwork on file. The file of Staff Person #4 hired (11/23/19) did not contain completed child abuse and criminal history information required under the CPSL and does not contain a copy of a request for child abuse history clearance, a copy of a request for criminal history clearances required for provisional hiring under the CPSL. Staff person #4 cannot work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #4 may not work in a child care position at the facility.

Noncompliance Area: It was observed that there was a plastic bag with wipes in it accessible to children in the 1&1/2-2 year old room, under the changing table. *CORRECTED ON SITE. Plastic bags holding diapers were also observed under the sink, in the bathroom that is used by 2 year olds. These plastic bags were accessible to children. *CORRECTED ON SITE. Plastic bags were also observed as accessible in the older toddler room (2s and 3s), in the closet that was not locked. *CORRECTED ON SITE

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: The fee agreement for child #2 did not contain a departure time.

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

Noncompliance Area: The initial health assessment for child #1 was not completed within 60 days of child's start date at facility. Child's Start date was 8/20/18 and the initial health assessment is dated 11/23/18.

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 medication for child #3 did not have child's name on the medication. *CORRECTED ON SITE

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: It was observed that the first aid kit in the Young Toddler room (2s), did not contain tape. *CORRECTED ON SITE

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: It was observed that Staff #1, #2, #3 & #4 did not have updated health assessments conducted within 24 months of the previous health assessments on file. Staff #1, #2 & #3 currently have new assessments on file. Staff #4 is in need of a new health assessment.

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: It was observed that windows above the ground floor that opened directly to the outdoors and were accessible to children in classroom spaces had not been modified or adapted to limit the opening to 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: It was observed, in the young toddler 1 classroom, that the heating vents (along windows) had rust which created a potiental hazard to children.

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.