Wee Care Nursery School And Day Care Center - Blakely PA Child Care Center

Noncompliance Area: Staff # 1 had a previous mandated reporter training dated for 6/11/15. This training was not updated until 8/2/20. This training was not updated every 60 months as is required by the CPSL. This clearance needed to be updated on or before 6/11/20.

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

Noncompliance Area: While at the facility on 10/30/18 for the renewal visit the inspector asked infant staff #2 and #3 to name her children in their assigned groups. Neither staff named child #1 as a child in their assigned groups. Eight infants were present and only seven were accounted for and named.

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: While at the facility on 10/30/18 for the renewal visit the inspector reviewed staff files. Staff file #1 began her first day working directly with children on 8/13/18. Staff #1 had a volunteer Child Abuse clearance on file, dated 10/10/17, and no proof of having begun the process of obtaining an employment Child Abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: While at the facility on 10/30/18 for the renewal visit the inspector observed a can of Glade aerosol spray in the bathroom on the lower level accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: While at the facility on 10/30/18 for the renewal visit the inspector found a first aid kit in the lower level young toddler room to be missing scissors as are required.

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: While at the facility on 10/30/18 for the renewal visit the inspector observed the window sills in the outdoor preschool play area to be chipped, and rough. Also the inspector observed wall vents in the Pre=k room and Preschool room to be rough, chipped and in need of repair. During the unannounced verification visit to the facility on 11/13/18 the inspector observed that the wall vents in the preschool room had additional metal vents placed over the existing vents which did not correct the initial issues observed. These additional vents caused further issues as they were chipped, rusted and sharp. The vents were not flush, one of the two vents was not fully screwed into place which created a pinch point for children.

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: While at the facility on 10/30/18 for the renewal visit the inspector found the bathroom downstairs off the young toddler room to be missing a hand washing sign as is required.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: The inspector observed at changing table in the toddler room that did not have a changing mat to ensure that the surface could be easily cleaned.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: On 6/30/18 the inspector observed staff #1 on the facility video system on this same day at approximately 8:44 am change child #1 and put diaper cream on the child. Child #1 was identified by the director. The inspector then observed the changing table and found the jar of Triple Paste Medicated Ointment with zinc oxide on the table. This diaper cream did not have child #1 name on it nor did it have any name on the jar. Staff #1 was asked if this was the diaper cream she placed on child #1 and staff #1 indicated it was. Staff #1 indicated that she uses it for any child who needs it. Staff #1 did not have a medication log for the Triple Paste Medicated Ointment with zinc oxide. The inspector then looked at the file for child #1 and could find no proof of a medication log.

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.

Noncompliance Area: While at the facility unannounced on 4/26/18 the inspector observed staff #1 diaper four separate toddlers at the changing table one after the other. During this process staff #1 did not wash her hands following each of the diaper changes, nor wash any of the children's hands following their diaper changes. Further, staff #1 failed to cleanse the diapering surface with sanitizer after each diaper change. On 6/30/18 the inspector was again at the facility unannounced and observed staff #1 on the facility video system on this same day at approximately 8:44 am change three different children's diapers and not wash her hands during or after any of the diaper changes. The video system was used as the toddlers were outside at play when the inspector arrived at the facility.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: While at the facility unannounced on 4/26/18 the inspector observed staff #1 diaper four separate toddlers at the changing table one after the other. During this process staff #1 did not wash her hands following each of the diaper changes, nor wash any of the children's hands following their diaper changes. Further, staff #1 failed to cleanse the diapering surface with sanitizer after each diaper change. On 6/30/18 the inspector was again at the facility unannounced and observed staff #1 on the facility video system on this same day at approximately 8:44 am change three different children's diapers and not wash her hands during or after any of the diaper changes. The video system was used as the toddlers were outside at play when the inspector arrived at the facility.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. The facility director will implement a diaper changing policy that will ensure staff fully understand proper techniques and skills required to both change diapers and ensure that the risk of potential disease and cross contamination is minimized. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all current staff and facility persons sign off on this policy and all new hires moving forward.

Noncompliance Area: While at the facility unannounced on 4/26/18 the inspector observed staff #1 diaper four separate toddlers at the changing table one after the other. During this process staff #1 did not wash her hands following each of the diaper changes, nor wash any of the children's hands following their diaper changes. Further, staff #1 failed to cleanse the diapering surface with sanitizer after each diaper change.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: While at the facility unannounced on 4/26/18 the inspector observed staff #1 diaper four separate toddlers at the changing table one after the other. During this process staff #1 did not wash her hands following each of the diaper changes, nor wash any of the children's hands following their diaper changes. Further, staff #1 failed to cleanse the diapering surface with sanitizer after each diaper change.

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: While at the facility unannounced on 4/26/18 the inspector observed staff #1 diaper four separate toddlers at the changing table one after the other. During this process staff #1 did not wash her hands following each of the diaper changes, nor wash any of the children's hands following their diaper changes. Further, staff #1 failed to cleanse the diapering surface with sanitizer after each diaper change.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: The inspector observed that the thermometer in the kitchen refrigerator was broken and a temperatue could not be determined.

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.