The Goddard School - Mechanicsburg PA Child Care Center

Noncompliance Area: The file of facility person #1 did not contain any written nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Facility person #1, a volunteer, started on 3/2/2020. The file for facility person # 1 does not contain a completed NSOR verification certificate or documentation of having applied for the NSOR verification certificate. The file does not contain a completed DHS FBI clearance or documentation of having applied for the DHS FBI clearance. The file contains a PDE FBI clearance. Although the LE has an approved waiver on file effective 1/7/20, the requirement to have documentation of application for the DHS FBI clearance and NSOR verification certificate on file was not met.

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 must be removed from childcare position by close of business. All required clearances must be obtained before facility person#1 may resume a child care position.

Noncompliance Area: On 3/13/2020, around 7:30 AM, staff person #2 was observed to be the single staff member caring for 5 infants. The staff: child ratio was corrected when staff person #3 entered the classroom, around 5 minutes later. Also on 3/13/2020, around 8:00 AM, staff person #3 was observed to be the only staff member caring for 16 preschool children. Facility person #1 was also in the classroom, but is only qualified as a volunteer, and therefore cannot count in the staff: child ratio.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: The last fire drill, as per documentation on the facility's fire drill log, was 12/17/19. The fire drill log did not include written documentation of the hypothetical location of the fire, the evacuation time, names of facility persons participating in the fire drill, or the number of children participating in the fire drill that occurred on 12/17/19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: It was observed that emergency contact forms for some of the children receiving care in the toddler room were not present in the toddler classroom at the time of inspection, which was corrected on site.

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: On 11/4/19, it was observed that in the pre-toddler classroom, neither the staff member's nor children's hands were washed after diaper changes. Continued non-compliance: On 12/20/19, it was observed that in the toddler classroom, neither the staff member's nor children's hands were washed after diaper changes, which was corrected on site.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Rest equipment in the pre-toddler, toddler, and Get Set II classrooms were observed to have tears in the corners, exposing the foam inside.

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: A sensory tube, with accessible beans less than one inch in diameter, were observed to be accessible to older toddlers in the Get Set II classroom.

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 agreement for child #1 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The agreement for child #4 did not specify the date on which the fee is to be paid.

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

Noncompliance Area: The emergency contact forms for children #2 and #4 did not include addresses for release persons listed.

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: It was observed that in the pre-toddler classroom, neither the staff member's nor children's hands were washed after diaper changes.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: The tuberculosis screening results on file for facility person #1, hired 9/16/19, were dated 2/24/17, and are therefore more than 12 months prior to initial service. The most recent health assessment in the file of facility person #5, hired 5/23/17, was dated 6/18/17. The file of facility person #6, hired 9/18/19, contained a health assessment dated 10/22/19 and tuberculosis screening results dated 10/25/19, which therefore were not on file at the time of hire.

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 health assessment on file for facility person #2 indicates that the facility person has communicable diseases, and there is not information regarding medical problems that may threaten the health of children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: At the time of inspection, documentation that the emergency plan had been updated within the past year was not on file.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.