Tiny Toes Learning Center Llc - Mount Pocono PA Child Care Center

Noncompliance Area: During a complaint investigation on 2/24/20, staff person # 1 admitted that on 2/19/19 they restrained child # 1 while the child was having a tantrum. Staff # 1 admitted to holding the child and bringing the child to another area of the facility.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Staff person # 1 shall attend a minimum of 2 hours of approved training; the topic shall be learning to deal with difficult behaviors.

Noncompliance Area: There is no date of admission on the fee agreement on file for child # 3.

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

Noncompliance Area: The emergency contact form on file for child # 4 does not include the name, address, and phone number of the child's physician. The emergency contact form on file for child # 3 does not include the child's health insurance name or policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: There is no release persons address provide on the emergency contact form for child # 5.

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: Staff persons # 2, 3, and 4 did not have a health assessment conducted within 12 months prior to providing initial service. Staff person # 2 started on 8/21/2019 and has not yet received a health assessment or TB screening. Staff person # 3 started on 8/26/19; their health assessment is dated 9/24/19. Staff person # 4 started on 9/16/19; there is no health assessment or TB screening on file.

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. 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: The emergency contact forms and agreements were not reviewed and updated by the parents at least once in a 6 month period. There is no date on the emergency contact from for child # 2 and the agreement is last dated 11/2018. The emergency contact and agreement forms on file for child # 3 are dated 8/27/2018. The most recent agreement on file for child # 4 is dated 1/12/19. There is no date on the emergency contact form for child # 6 and the agreement is dated 11/28/18.

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: The emergency contact form on file for children # 3 and 5 do not have written consent for emergency medical care or the administration of minor first aid procedures.

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. 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.

Noncompliance Area: The emergency contact forms on filed for children # 3 and 5 do not have written consent for transportation and walking excursions.

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

Noncompliance Area: There is no proof of education or experience on file for staff person # 1

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The date of the emergency plan on file is 7/23/2018; the plan was not reviewed and updated within one year.

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.

Noncompliance Area: The pack and plays in the infant room were not labeled for individual use.

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: Staff person # 1 has only one written reference in their record.

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: There is no documentation that any staff reviewed the emergency plan at the time of initial hire.

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. Staff shall receive training regarding the emergency plan within one week of hire and within one week of annual updated.

Noncompliance Area: Staff person # 1 started in child care on 11/14/18 and was fingerprinted on 11/19/18. Staff person # 2 was hired on 11/19/18 and fingerprinted on 11/26/18. Staff person # 3 was hired on 9/13/18 and their state police clearance is dated 11/21/18.

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: Staff person # 1 was hired as an assistant group. There is no proof of education or experience on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.