Treasure House Child Development Center-monroe

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During complaint investigation, it was discovered that staff #1 had inappropriately handled a child by forcefully grabbing and lifting a child by the wrist. This can be seen from the facilities video footage. The facility reported the incident immediately upon being informed and terminated staff #1.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion shall have an immediate correction date. 2. The legal entity will need to create a written policy on how they will handle staff who are becoming frustrated while working alongside children. The policy must also state that if other staff are witnessing frustration, an intervention must be put in place to prevent aggressive behaviors towards children. The legal entity will need to have all staff review the new policy, sign a document stating that it has been reviewed and it shall be kept in each staff file. This policy must be approved by DHS before implementation. The operator shall provide a date for when this policy will be completed and reviewed by all staff.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #3 did not have an updated child service report on file.

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).

Regulation: 3270.124(b)(2)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: Child #1 did not have the address and phone number of their physician on their emergency contact sheet. Child #2 did not have the phone number of their physician on their emergency contact sheet. Child #3 did not have the address and phone number of their physician on their emergency contact sheet. Child #4 did not have the name, address, or phone number of their physician on their emergency contact sheet. Child #1 did not have the enrolling mother's work phone number on the emergency contact sheet. Child #2 did not have both enrolling parent's work address and work phone number on the emergency contact sheet. Child #3 did not have the enrolling father's work address and did not have both enrolling parent's work phone number on the emergency contact sheet.

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 the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(6)/3270.124(b)(7)

Description: Insurance coverage information/Name/address/phone release person

Noncompliance Area: Child #1 did not have the health insurance policy number on the emergency contact sheet. Child #3 did not have the health insurance coverage on the emergency contact sheet. Child #3 did not have both health insurance/medical assistance coverage or policy number on the emergency contact sheet. Child #2 did not have the release person's address on the emergency contact sheet.

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. 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child #3's emergency contact information had not been updated in a 6-month period. Current date is 11/6/23. Child #4's emergency contact information and financial agreement had not been updated in a 6-month period. Current date for both is 12/29/23.

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 information. 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.

Regulation: 3270.31(e)(4)(i)/3270.31(e)(4)(ii)

Description: Age and Training/Fire safety - 1 yr.

Noncompliance Area: During staff file reviews, it was observed that staff #1 did not complete Pediatric CPR training within the 2-year requirement. The CPR training is dated for 2/26/22 and was not renewed until 4/23/24. During file review, it was observed that staff #1 and #2 did not have any proof of completing annual fire safety training on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 did not complete mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/28/2015 and was renewed on 12/11/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed in the Young Toddler room that the first aid kit did not have soap in it. It was observed in the Pre-K room that the first aid kit did not have tweezers. It was observed in the Older Toddler room that the first aid kit did not have soap and tweezers.

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.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The following dates indicate that fire alarm testing was not done within the 30-day requirement: 10/27/23, 11/27/23, 1/26/24, 2/26/24, 3/26/24, 4/26/24, 5/24/24, 6/24/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: While at the facility for the renewal inspection the inspector observed the staff files and found that staff #3 had a health assessment dated 12/5/19 and did not obtain another until 7/11/22. Staff #4 had a health assessment dated 7/2/21 and did not obtain another until 8/4/23.

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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: While at the facility for the renewal inspection the inspector observed the staff files and found that staff #2 did not have any proof of having annual fire safety on file at the facility.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff person #4 shall complete the required one-hour 2022 update to the health and safety training by 8/25/23.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.133(3)/3270.133(7)

Description: Name on bottle/Medication log

Noncompliance Area: While at the facility unannounced on 7/27/22 for the renewal inspection the inspector found a bottle of Homeopathic Mucus removal for children in the toddler room cabinet. This medication had no name on it nor a medication log for administration.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced on 7/27/22 for the renewal inspection the director could not provide documented proof of having conducted an annual emergency drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: While at the facility unannounced on 7/27/22 for the renewal inspection the inspector noted that the director had proof of having conducted the required every 30 days manual testing of the fire alarm system. The fire drill/detection log noted 3/22/22, 4/25/22, and then 6/22/22. The facility was missing the May and July 30 day testing.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.