Westfield Child Development Center

Noncompliance Area: During the renewal inspection, the refrigerator in the Older Toddler room did not contain a thermometer. The refrigerator in the Infant room did not contain an operating thermometer.

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.

Noncompliance Area: During the renewal inspection, Staff #2 verified that Child #1, an infant, stays in the Graco rocker after falling asleep and is not placed in child's crib. There was no medical documentation on file from the child's physician.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: During the renewal inspection, the file for Child #1, #2, #3, #4 and #5 did not contain 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.

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).

Noncompliance Area: During the renewal inspection, the health report for Child #1, an infant, was dated 6/26/19 and had not been updated within 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: During the renewal inspection, the last health report was dated 3/21/17 for Child #3 and 7/30/17 for Child #4 and had not been updated at least every 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: During the renewal inspection, the file for Staff #4, hired 10/19/19, did not contain a health assessment. The file for Staff #10, hired 8/27/18, did not contain a health assessment until 1/7/19. The health assessment, dated 12/11/17, was no longer valid for Staff #5.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: During the renewal inspection, the file for Staff #6, Staff #8 and Staff #9 did not contain proof of education and/or experience following the outset of service at the facility.

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

Noncompliance Area: During the renewal inspection, the file for Staff #2, Staff #4, Staff #6, Staff #8, and Staff #10 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

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: During the renewal inspection, it was observed that the interconnected fire detection system was not fully operable as the alarm did not sound in the preschool room when system was activated,

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: During the renewal inspection, the file for Staff #2, Staff #3, Staff #4, Staff #6, Staff #7 and Staff #8 did not contain documentation of emergency plan training at the time of initial employment.

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: During the renewal inspection, the file for Staff #1, Staff #2 and Staff #4 did not contain the DHS required FBI clearance. The file for Staff #2 and Staff #4 did not contain mandated reporter training as required by the CPSL. The file for Staff #4 did not contain a child abuse clearance. The file for Staff #9, hired 1/21/2020, did not contain NSOR verification The LE did not have an approved waiver to hire provisionally.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, #4 and #9 may not work in a child care position at the facility. 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, #2, #4 and #9 may not work in a child care position at the facility.

Noncompliance Area: During the inspection, protective receptacle covers were missing in the outlet by the sink in the Toddler Room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: During the inspection, the following toxic materials were accessible to children: diaper ointment, disinfectant wipes and sun screen in the Infant Room; sunscreen in the hallway; disinfectant wipes in the toddler room; diaper ointment, disinfectant wipes and hand sanitizer in the Preschool/School-Age Room.

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: During the renewal inspection on 1/17/19, the emergency contact for Child #1, #2, #3, #4 and #5 did not include the health insurance coverage and/or policy number for a child under a family policy or Medical Assistance benefits.

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.

Noncompliance Area: During the renewal inspection on 1/17/19, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.