Tracie L Spencers Day Care

Noncompliance Area: The record for staff #1 included a current health assessment dated more than 24 months following the date of the previous health assessment.

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: The operator did not document in writing the review and update of the emergency plan at least annually since 11/20/2019.

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.

Noncompliance Area: The record for staff #1 included a state police clearance dated 10/15/2020, which was more than 60 months following the previous clearance dated 6/17/2015; and a child abuse clearance dated 10/16/2020, which was more than 60 months following the previous clearance dated 7/13/2015.

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: The record for staff #1 included record of mandated reporter training completed on 10/21/2020, which was more than 60 months following the previous training completed on 6/22/2015.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Noncompliance Area: The first-aid kit lacked tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: An operating thermometer was not placed in the refrigerator.

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: A veterinarian's certificate of current rabies immunization was not on file for (2) dogs present at the facility.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: The facility did not require the parent of child #1 and #2 to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the influenza vaccine administered in accordance with the schedule 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: The facility's current certificate was not posted.

Correction Required: The facility's current certificate of registration 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: The operator did not document in writing a review of the emergency plan at least annually since the last documented review on 11/19/2018.

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.

Noncompliance Area: In the children's play area, there was a large television on a stand and the television was not secured, posing a potential tipping hazard to children in care.

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: The child service agreement for child #1(8/28/2017 and 8/23/2018) and #2(7/12/2017 and 7/15/2018) was not updated at least once in a 6-month period.

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: The agreement for child #4 did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The agreement for child #3 and #4 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: The record for child #3, a young toddler, did not contain an updated health report dated within the last 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

Noncompliance Area: In the kitchen, which is located on the first level of the home, there was a railing that overlooked the basement level and it had slats that were more than 4 inches apart, posing a strangulation risk to children in care.

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

Noncompliance Area: The operator did not document in writing the review of the emergency plan at least annually.

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.

Noncompliance Area: The record for staff #1 did not include records of a biennial minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Noncompliance Area: There was no protective receptacle cover placed in an electrical outlet accessible to children 5 years of age or younger in the living room.

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

Noncompliance Area: The following cleaning materials and toxic materials labeled keep out of the reach of children were observed to be accessible to children in care: In the bathroom, there was a bottle of Equate Dandruff Shampoo sitting on the side of the tub and there was a can of shaving cream in an unlocked closet; and in the kitchen, there was a bottle of Dawn Dish Soap in an unlocked cabinet under the kitchen sink.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: There was no fire evacuation plan posted.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: The rest equipment was not labeled for the use of a specific child.

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: There was no Child Service Report completed for Child #1, who was enrolled on 4/27/2017.

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: There was no plastic-lined, hands-free covered can for discarding soiled disposable diapers.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The surface used for diaper changing (blanket on the floor) was unable to be wiped with a sanitizing solution or changed.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: A copy of the applicable regulations under which the facility is certified was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of registration 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: The operator did not post the emergency plan in the facility at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: A visual strip or other visual identification was not placed on sliding glass door located in child care space.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: Observed the facility did not have the agreed upon rest equipment labeled for the use of a specific child.

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: Observed the facility did not have a veternarian's certificate of current rabies immunizations for the 2 dogs which were at the facility.

Correction Required: A veterinarian`s certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: Observed children's files #3 and #4, who had been in attendance for more than 6 months, did not contain a child service report.

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: Observed children's files #1 and #2 did not contain the address of the release person in the emergency contact information.

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: Observed child file #3, a young toddler, contained a most recent health assessment which was dated more than 14 months ago. Observed child file #4, a preschool child, contained a most recent health assessment which was dated more than 14 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe 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 staff file #1, who provides direct care with the children, did not have a completed valid health assessment on file at the facility.

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 on file at the facility.

Noncompliance Area: Observed shaving cream labeled "keep out of the reach of children" accessible to children in the unlocked cabinet under the sink in the bathroom used by the children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed a small section of the ceiling by the eating area detached from its anchored supports. Observed a ceiling junction box which was missing a protective cover.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Observed there was no documentation present at the time of the inspection, showing the facility had conducted the required four fire drills during the calendar year 2016.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.