Tiney Tots At Tynettas

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed the play pen was not labeled for the use of a specific child. Observed a child asleep in a bouncy chair.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed the facility's refrigerator did not have an operating thermometer placed inside.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed child #3 and #4's agreement was not signed by the operator.

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

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed the agreements for child #2 and #4 did not include the services to be provided to the family and child.

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).

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed child #2 and #4's agreements did not specify the child's arrival and departure times and did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed child #2, #3 and #4's agreement did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed child #4's emergency contact information did not include the address of the child's physician or source of medical care.

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: During the renewal inspection conducted on 10/4/2019 observed child #1, #2, #3 and #4's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed child #3 and #4's emergency contact information did not include health insurance coverage and 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: During the renewal inspection conducted on 10/4/2019 observed child #2, #3 and #4's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

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: During the renewal inspection conducted on 10/4/2019 observed staff person #1 and #2 did not have health assessments conducted within the 24 month time period.

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 inspection conducted on 10/4/2019 observed the facility did not have a menu posted conspicuously.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed the facility did not have a current copy of the insurance policy on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed child #3's emergency contact information was reviewed and updated within the 6-month period.

Correction Required: A 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: During the renewal inspection conducted on 10/4/2019 observed child #2 and #4's record did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed child #2 and #4's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff and signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed the facility did not have a copy of the applicable regulations under which the facility is certified posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed staff person #1 did not have verification of annual minimum of 6 clock hours of child care training on file.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed the electrical outlets accessible to children in the second child care space and the bathroom did not have protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: During the renewal inspection conducted on 10/4/2019 observed the light switch in the bathroom was not in good repair.

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: During the renewal inspection conducted on 10/4/2019 observed peeled paint on the black wall in the first child care space and on the green wall in the second child care space.

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 the renewal inspection conducted on 10/4/2019 observed the facility did not have a current fire drill log. The last fire drill documented was on 3/2019.

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: During the renewal inspection conducted on 10/4/2019 observed the evacuation route was not posted in the first child care space.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: Observed child #1, #3 and #4's emergency contact information did not include work address and telephone numbers of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: Observed child #5's emergency contact information did not include 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: Observed child #1, #2 and #5 did not have updated health reports within the 12 month time frame.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Observed child #2 and #3's emergency contact information and financial agreement were not reviewed in a 6-month period.

Correction Required: A 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: Observed facility did not have evacuation routes posted in facility.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).Evacuation routes shall be posted.

Noncompliance Area: Observed staff person #1 did not have up to date fire safety training on file.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: Observed staff person #1 did not have a written evaluation on file.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Observed the facility did not have documented up to date fire drills on their fire drill log.

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.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 2 DID NOT SPECIFY THE FEE AMOUNT TO BE PAID OR THE DATE THE FEE IS TO BE PAID.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1, # 3, AND # 4 DID NOT INCLUDE THE SERVICES TO BE PROVIDED TO THE FAMILY AND THE CHILD.

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).

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 2 DID NOT SPECIFY THE DESIGNATED RELEASE PERSONS.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1, # 3, # 4, AND # 5 DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD #4 ENROLLMENT DATE 2/1/2014, DID NOT INCLUDE AN INITIAL HEALTH REPORT.

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 shall contain initial and subsequent health reports.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT THE LOCAL SAFETY TRAFFIC AUTHORITIES WERE NOTIFIED IN WRITING OF THE PROGRAM'S LOCATION AND USE OF PEDESTRIAN AND VEHICULAR 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 NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, SAFE ROUTES WERE NOT ESTABLISHED OR POSTED AT THE FACILITY.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF LIABILITY INSURANCE FOR THE FACILITY. STAFF PERSON # 2 IDENTIFIED AS THE DESIGNATED PERSON IN CHARGE COULD NOT PRODUCE LIABILITY INSURANCE INFORMATION FOR THE FACILITY.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT EMERGENCY PLAN TRAINING WAS CONDUCTED FOR STAFF PERSON #1 AT INITIAL EMPLOYMENT.

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: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 HIRE DATE 11/2/2017, DID NOT INCLUDE A COPY OF REQUESTS FOR THE CHILD ABUSE REGISTRY CLEARANCE.- AS REQUIRED UNDER THE CPSL.

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. Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THE ELECTRICAL OUTLET IN THE BACK CHILDREN'S BATHROOM WAS MISSING A PROTECTIVE RECEPTACLE COVER.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, A CEILING TILE IN THE FRONT CHILD CARE SPACE OVER THE DESK WAS SOILED FROM A PREVIOUS LEAK. THERE WAS CRACKED FLOOR TILE IN THE MIDDLE CHILD CARE SECTION OF THE FACILITY. THERE WAS MISSING AND CRACKED FLOOR TILE IN THE BACK CHILDREN'S BATHROOM UNDER THE BLACK FLOOR MAT. THERE WAS A SMALL HOLE ON THE BLUE WALL IN THE BACK CHILD CARE SPACE.

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 NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ON THE YELLOW WALL IN THE MIDDLE CHILD CARE SECTION OF THE FACILITY. THERE WAS CHIPPING PAINT ON THE BLUE WALL AND BASEBOARD IN THE BACK CHILD CARE SPACE.

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

Noncompliance Area: ON NOVEMBER 9, 2017 DURING THE RENEWAL INSPECTION, HANDWASHING SIGNS WITH THE WRITTEN REQUIREMENTS WERE NOT POSTED AT THE SINK, TOILET AND DIAPERING AREA IN THE FACILITY.

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.