Tijuana Best Family Day Care - Wilkes Barre PA Family Child Care Home

Noncompliance Area: On 11/8/19, a renewal inspection occurred at the facility. A review of children's files was conducted. Child file # 3 had a date of enrollment of 1/1/17 and the file did not contain any child service reports since enrollment. Child # 3 was receiving care at the facility at the time of this inspection.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: On 11/8/19 a renewal inspection occurred at the facility. A review of children's files was conducted. Child file # 1 had a date of enrollment of 10/8/19 and the file did not contain complete health insurance coverage information. Child file # 2 had an enrollment date of 10/8/19 and the file did not contain complete health insurance coverage information. Child file # 3 had an enrollment date of 1/1/17 and the file did not contain complete health insurance coverage information. All these children were receiving care at the facility at the time of this inspection.

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 11/8/19 a renewal inspection occurred at the facility. A review of children's files was conducted. Child file # 3 had an emergency contact dated for 9/20/18 and it was not updated until 10/9/19. The agreement form for this file was dated for 10/25/18 and it was also not updated until 10/9/19. These forms were current for this inspection but were not updated every 6 month period. This child was receiving care at the facility at the time of this inspection.

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 informationA 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: On 11/8/19 a renewal inspection occurred at the facility. A review of children's files was conducted. Child file # 1 had an enrollment date of 10/8/19 and the file did not contain documentation of consent for first aid. Child file # 2 had an enrollment date of 10/8/19 and the file did not contain documentation of consent for first aid. Child file # 3 had an enrollment date of 1/1/17 and the file did not contain documentation of consent for first aid. All these children were at the facility during this inspection.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: On 11/8/19 a renewal inspection occurred at the facility. At that time, a review of staff files was conducted. Staff file # 1 did not contain valid first aid training. Staff # 1 is the only staff employed to provide care for the children.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: On 11/8/19 a renewal inspection occurred at the facility. A physical site review was conducted. A radiator in the living room was accessible to the children. The radiator was extremely hot to the touch that it burned this inspector's hand. Children were viewed receiving care in this room while the radiator was on and hot.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: On 11/1/18, a review of children's files was conducted. Child file # 1 had an enrollment date of 2/1/18 and the file was missing consent for emergency medical care. Child # 1 was present at the facility during this inspection.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: On 11/1/18, a review of children's files was conducted. Child file # 1 had an enrollment date of 2/1/18 and the file was missing an initial health report. Child # 1 was in care at the facility during this inspection. Child file # 2 had an enrollment date of 3/1/18 and the file did not include a health report. Child # 2 was present at the facility during the inspection on 10/19/18.

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.A child's record must contain initial and subsequent health reports.

Noncompliance Area: On 10/19/18, a review of staff files was conducted. Staff file # 1 has not had an updated health report completed since 7/18/16. Staff # 1 was working in ratio with children during the inspection.

Correction Required: 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.A facility person's record shall include a written report of initial and subsequent health assessments, 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: On 11/1/18, a review of children's files was conducted. Child file # 1 was missing consent for trips and transportation. Staff # 1 indicated that children travel with her on errands and this specific child has ridden in her vehicle since enrolling.

Correction Required: The operator shall obtain written consent from the parent for transportation by the facility staff.A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: On 11/1/18, a review of children's files was conducted. Child file # 1 was missing consent for administration of minor first aid procedures by staff. Child # 1 was in care at the facility at the time of this inspection.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.