Tutor Time Child Care Learning Center - Downingtown PA Child Care Center

Noncompliance Area: On 8/10/20 and 8/12/20 during renewal inspection, certification representative reviewed 9 staff files. Staff #1 had a health assessment dated 3/26/2018 on file. Date of hire was 8/10/20.

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: At the time of the investigation, staff #1 and 2 were negligent in reviewing the allergies in the classroom and handed out egg to child #1 who had a severe egg allergy. Child #1 ingested the egg and emergency medical procedures took place.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: At the time of the inspection, there were Styrofoam bowls being utilized throughout the facility.

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: At the time of the inspection, there was no release person address on the emergency contact form for child #6.

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: At the time of the inspection, the immunization record on file for child #6 (2-12-18) was not in accordance with the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: At the time of the inspection, the health report on file for child #1-3 and 6 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: At the time of the inspection, the Ventolin, Flovent, Benadryl and Epi-Pen on file for child #9 were all expired by 7-26-19.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: At the time of the inspection, there was no medication log signed by the parent providing written consent for administration of specific medication for child #8 and 9.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: At the time of the inspection, the health report on file for staff #14 was dated 7-21-17 and therefore expired. The health report on file for staff #21 was dated 6-8-17 and therefore expired. The health report on file for staff #26 was dated 11/10/16 and therefore expired.

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: At the time of the inspection, there was no verification of a complete tuberculosis screening by the Mantoux method on file for staff #26 OR #31.

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: At the time of the inspection, BUS #1-4 did not contain verification of valid registration or insurance.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: At the time of the inspection, there was no verification of experience on file for staff #14, 28, 29 OR 30.

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: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #23 and 30.

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: At the time of the inspection, there was no verification of 6 clock hours of child care training for staff #15.

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

Noncompliance Area: At the time of the inspection, there was no fire safety training on file for staff #22 (date of hire 6-4-18).

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.