Vallone Child Care Center - Reading PA Child Care Center

Noncompliance Area: Two blue and green rest mats in the storage area for all the rest equipment were observed to be torn, with the inner foam exposed.

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: The immunization record for Child #1 shows that the last administered flu vaccine was on 10/12/17, and not completed annually in accordance with the schedule recommended by the ACIP. This child's file did not contain an exemption letter from the parent. The immunization record for Child #2 shows that the last administered flu vaccine was on 1/11/17, and not completed annually in accordance with the schedule recommended by the ACIP. This child's file did not contain an exemption letter from the parent. The immunization record for Child #3 shows that the last administered flu vaccine was on 12/4/17, and not completed annually in accordance with the schedule recommended by the ACIP. This child's file did not contain an exemption letter from the parent.

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: During a review of the staff files, it was observed that staff #1 went more than 24 months before updating their most recent health assessment. Date of previous health assessment: 5/19/15; Date of current health assessment: 2/23/18. During a review of the staff files, it was observed that staff #2 went more than 24 months before updating their most recent health assessment. Date of previous health assessment: 9/15/14; Date of current health assessment: 3/8/17.

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: Staff Person #1 has a Child Abuse Clearance in his file that is dated 2/14/14, but an updated child abuse clearance dated within 60 months is not in the staff person's file. This clearance on file is an expired clearance, per the CPSL. Staff Person #3 has State Police paperwork in the file showing the invoice for a clearance submitted on 3/23/15, but the certificate form is not in the file, showing the completed clearance.

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. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: There are two times when the fire drills held at the facility were held more than 60 days apart. The log shows a lapse from 7/12/18-9/17/18 and from 10/14/18-1/19/19 where drills were held more than 60 days apart.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: An epi-pen for Child #1 was observed in the medicine cabinet for a child who was present at the facility, but the medication expired 03/2018. There was also no parental permission on file for administration of this medication. Albuterol for Child #2 was observed above the diaper table at the facility, but the medication expired in 06/2018. Triple Paste Medicated Ointment for Child #3 was observed at the facility to be used for the child, but parental permission to administer the medication was not on file.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: Peeling paint was observed on the large black basketball hoop, as well as on the teal four-way see-saw in the outdoor play space. Two bikes were observed to have peeling paint, and one bike seat was observed to be torn, with the inside foam exposed.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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: A WHITE, SMALL TOY CHEST WAS OBSERVED IN THE BACK ROOM OF THE FACILITY AND HAD TWO CRACKS IN THE WOOD, CAUSING PINCH POINTS AND SPLINTERING HAZARDS. MULTIPLE EXTRA REST MATS WERE OBSERVED TO BE TORN, WITH THE FOAM EXPOSED AND ACCESSIBLE.

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. 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: A BUMBO SEAT WAS OBSERVED AT THE FACILITY IN THE AREA USED BY THE INFANTS, BUT THIS MODEL OF BUMBO HAD BEEN RECALLED BY THE MANUFACTURER.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: ALBUTEROL SULFATE FOR CHILD #1 WAS OBSERVED AT THE FACILITY, BUT THE MEDICATION EXPIRED IN 05/2016.

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

Noncompliance Area: STAFF #1 HAS AN FBI CLEARANCE ON FILE DATED 10/13/12, BUT DOES NOT HAVE AN UPDATED FBI CLEARANCE ON FILE. CURRENT CPSL REQUIRES CLEARANCES TO BE UPDATED EVERY 60 MONTHS.

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. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: THERE ARE EXPOSED BOLTS ON THE PLAYGROUND FENCING.

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: NONE OF THE STAFF FILES VIEWED INCLUDED FIRE SAFETY TRAINING WITHIN THE PAST YEAR. THE LAST FIRE SAFETY TRAINING ON FILE WAS FROM 3/31/2015.

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: THERE IS PEELING PAINT ALONG THE BLUE WALL ON THE RIGHT OF THE ENTRANCE. THERE IS A HOLE ALONG THE BASE OF THE BLUE WALL AS WELL.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: THE ROOMS IN WHICH THE CHILDREN WERE NAPPING WERE NOT LIT BY ARTIFICIAL OR NATURAL LIGHT. IT WAS TOO DARK TO PROPERLY SUPERVISE THE CHILDREN.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. 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.