The Gingerbread House - Levittown PA Child Care Center

Noncompliance Area: During a review of the records and upon further investigation, it was confirmed by the doctors office that the health assessment included in staff persons #1 records dated 4/20/19 was not completed by said doctors office

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: During the renewal process and upon further investigation it was confirmed by the doctor's office that the Tuberculosis test dated 1/21/18 included in the records of staff person #2 was not completed by said doctors office.

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, 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: During the previous renewal inspection on 9/10/20 the records of staff person #1 did not include a National Sex Offender Registry Certificate and to date has not received said NSOR certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility. 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: During the renewal inspection on 9/10/20 it was observed that the files of staff person #3 did not include the National Sex Offender Registry Certificate as required under CPSL. -The files of staff person #1, #2, and #4 did not include an updated Mandated Reporter training as required under CPSL-mandated Reporter Training certificates presented expired 7/14/20, 5/18/20 and 7/2/2020 respectively

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

Noncompliance Area: During the renewal inspection on 9/10/20 it was observed that the ceiling in Room 10 (in the refrigerator room) was water stained on multiple ceiling tiles.

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: On 7/25/19 at renewal inspection certification representative observed a ripped couch and chair in room # 4 that had exposed stuffing.

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 7/25/19 at renewal inspection certification representative observed that the emergency contact form for child # 1 did not contain the child's health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: On 7/25/19 at renewal inspection certification representative observed that the immunization record for child # 2 reflected that the child has not had a flu shot since 2014.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: On 7/25/19 at renewal inspection certification representative observed that the facility did not have written notification to the local traffic authority of the location of the facility and the facility's use of vehicular and pedestrian routes around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: On 7/15/19 at renewal inspection certification representative observed that the file of staff person # 1, hire date 7/1/19, did not contain receipts for a child abuse clearance or verification that person staff person has been fingerprinted. The file of staff person # 2, hire date 6/27/19, did not contain a receipt for a child abuse clearance. The file of staff person # 3, hire date 6/17/19, did not contain verification that staff person has been fingerprinted and did contain a volunteer PA criminal background check and a volunteer child abuse clearance. The file of staff person # 5, 11/15/07, contained a volunteer PA criminal background check. The file of staff person # 5, hire date 5/30/19, contained a PDE fingerprints.

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

Noncompliance Area: On 7/25/19 at renewal inspection certification representative observed unlabeled bleach and water solution bottles in room # 1 and # 2.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: On 7/25/19 at renewal inspection certification representative observed staff put a child into a high chair for lunch without washing child's hands. A staff person was observed changing a diaper and then putting the child in a high chair wearing the gloves used for diaper changing.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: Facility person #1 has mistreated or abused clients/children being cared for in the facility or receiving service from the facility.

Correction Required: Facility person #1 cannot have access to children in the facility. The operator may not allow abuse to occur at the facility.

Noncompliance Area: On 8/31/18, staff person #1 repeatedly grabbed child #1 roughly by the arms and roughly forced her to sit in the time out chair. She left red marks on both of the child's arms. This is recorded on classroom video.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: On 8/31/18, around 9am, there was an incident involving staff person #1 roughly grabbing child #1 on the arms and leaving marks. The parents were called and notified that morning. When they arrived at the end of the day to watch the video of the incident, no incident report had been written up and none was provided to them same day.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.