Training Wheels Child Day Care Center - Pittsburgh PA Child Care Center

Noncompliance Area: The list of immunizations in the file for child #1, a 3 year old, was missing 1 of 4 required pneumococcal vaccinations. There was not a written statement of exemption from a parent in the file.

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 last two emergency plan trainings in the file for staff person #1 and #3 were dated more than 12 months apart.

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 last two fire safety trainings in the file for staff person #1, #2 and #4 were dated more than 12 months apart.

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: The last two state police and FBI clearances in the file for staff person #2 were dated more than 60 months apart. The staff person continued to work in the child care while their clearances were expired.

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: ***2nd citation: At approximately 3:30 pm in room 107, where staff person #1 and #2 were present with 19 kindergarteners, staff person #1 identified 8 children and staff person #2 identified 10 children, leaving 1 child not identified. Previously cited on 2/5/20.

Correction Required: In all child care spaces, a white board will be used to identify supervision groups. Each staff person's name will be listed, along with the names of the specific children for whom they are responsible. The staff person will know the names and whereabouts of the children in their assigned group. The staff person will be physically present with the children in their group on the facility premises, in the playground and on facility excursions off the facility premises.

Noncompliance Area: At approximately 5:10 pm, on the second floor of the facility, child #1, a 2nd grader, was observed alone near their locker in the hallway outside of room 208. At the same time, staff person #5 was observed sitting down inside the classroom with a few children standing around them, and was not looking towards the hallway. As the certification representative approached the classroom, staff person #5 moved to the door's threshold and 6 more 2nd graders were observed inside the classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: At approximately 3:30 pm, upon entering the far side of the cafeteria, staff person #1 and #2 were out of ratio with 62 children, a combined group of 56 young school-agers and 6 older school-agers. Staff person #1 initially identified 30 young school-agers and staff person #2 identified 11 young school-agers, leaving 21 children unidentified. When brought to their attention, staff person #1 then identified 7 more young school-agers and 6 older school-agers, leaving 8 children still unidentified. Based on conversation with staff person #1, staff person #3 was in the cafeteria, but had just taken one child to the bathroom down the hallway. As the certification representative was asking staff #1 and #2 to identify groups, staff person #3 returned to the cafeteria and staff person #4, traveling from another job, arrived at the cafeteria.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: The most recent health report in the file for child #2, a kindergartener, was dated when the child had just turned 4 years old, making the report too old to accept.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: There was no evidence of a health assessment or TB screening for staff person #6 and #7. Based on conversation with the director, both individuals were providing care for children in the cafeteria every Wednesday. They were needed for ratio because many of their school-age staff are employed by the charter school during the day and have after school meetings until 4 pm every Wednesday.

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: There was no evidence of a health assessment or TB screening for staff person #6 and #7. Based on conversation with the director, both individuals were providing care for children in the cafeteria every Wednesday. They were needed for ratio because many of their school-age staff are employed by the charter school during the day and have after school meetings until 4 pm every Wednesday.

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: There was no evidence of education or experience in the file for staff person #6 and #7. Based on conversation with the director, both individuals were providing care for children in the cafeteria every Wednesday. They were needed for ratio because many of their school-age staff are employed by the charter school during the day and have after school meetings until 4 pm every Wednesday.

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

Noncompliance Area: There was no evidence of written references for staff person #6 and #7. Based on conversation with the director, both individuals were providing care for children in the cafeteria every Wednesday. They were needed for ratio because many of their school-age staff are employed by the charter school during the day and have after school meetings until 4 pm every Wednesday.

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 was no evidence of emergency plan training for staff person #6 and #7. Based on conversation with the director, both individuals were providing care for children in the cafeteria every Wednesday. They were needed for ratio because many of their school-age staff are employed by the charter school during the day and have after school meetings until 4 pm every Wednesday.

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 FBI clearance in the file for staff person #6, The Executive Director, was expired, as it was dated in 2009. There was no evidence of a signed disclosure statement or completed mandated reporter training for staff person #7. Based on conversation with the director, both individuals were providing care for children in the cafeteria every Wednesday. They were needed for ratio because many of their school-age staff are employed by the charter school during the day and have after school meetings until 4 pm every Wednesday.

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: At approximately 5:10 pm, on the second floor of the facility, child #1, a 2nd grader, was observed alone near their locker in the hallway outside of room 208. At the same time, staff person #5, the only staff person in the room, was observed sitting down inside the classroom with a few children standing around them, and was not looking towards the hallway. As the certification representative approached the classroom, staff person #5 moved to the door's threshold and 6 more 2nd graders were observed inside the classroom.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.