The Teeter-totter - Pittsburgh PA Child Care Center

Noncompliance Area: The child file for child #3 contained an emergency contact information form that lacked the child's physician information.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The child file for child #1, who has an enrollment date of 8/26/19, lacked an initial health report. The child file for child #3, who has an enrollment date of 4/15/19, contained an initial health report dated 7/3/19 which was more than 60 days following the first day of attendance.

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 child file for child #1, who is a young school aged child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP. The child file for child #2, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/23/18. The child file for child #3, who is a preschool aged child, contained a copy of their immunization status which lacked an annual influenza vaccination 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: In the infant area of the child care space a diaper creme was observed to not be labeled with the child's name.

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 staff file for staff person #1, who has a start date working with children of 7/1/19, lacked a health assessment. The staff file for staff person #2, who has a start date working with children of 4/4/19, lacked a valid 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: The staff file for staff person #1, who has a start date working with children of 7/1/19, lacked a tuberculosis screening and the results. The staff file for staff person #2, who has a start date working with children of 4/4/19, lacked a tuberculosis screening and the results.

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.

Noncompliance Area: The child file for child #1 contained an emergency contact information form that lacked signed parental consent for walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The staff file for staff person #1 and staff person #2 lacked two non family references attesting to the person's suitability to serve as a facility person.

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: In the infant area of the child care space two cords that are connected to two motorized baby swings were observed to be hanging low and on the ground accessible to children in care and posing as a safety concern to those children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The staff file for staff person #1, who has a start date working with children of 7/1/19, lacked emergency plan training at time of hire. The staff file for staff person #3, lacked documentation of having received emergency plan training for 2018.

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 and kept on file at the facility.

Noncompliance Area: The staff file for staff person #1, who has a start date working with children of 7/1/19, contained mandated reporter training dated 10/30/19 which was obtained more than 90 days from date of hire. The staff file for staff person #2, who has a start date working with children of 4/4/19, contained mandated reporter training dated 7/17/19 which was obtained more than 90 days from date of hire.

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.

Noncompliance Area: In the preschool area of the child care space the first-aid kit was observed to be on top of a child's toy shelving unit accessible to the preschool aged children in care.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: In the infant area of the child care space peeling paint and damaged plaster was observed to the right of the second pillar near the baseboard. In the preschool area of the child care space peeling paint and damaged plaster were observed on the wall, left of the entrance, and to the right of the electrical outlet near the baseboard as well as on the wall containing the bulletin board in the left hand corner.

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

Noncompliance Area: During a complaint investigation conducted on 10/11/19, it was verified that a report was not written up for an incident where Child #1 received a bruise on his forehead after being hit in the head by a toy that another child had thrown at Child #1.

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.

Noncompliance Area: The child file for child #2 lacked an updated child service report. The most recent child service report on file was dated 6/23/17.

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).