Willow Child Development Center - Meadville PA Child Care Center

Noncompliance Area: The staff file for Staff person #1 contained emergency plan training that was not completed on an annual basis; the dates of the two most recent trainings were 9/10/18 and 8/5/20. The staff file for Staff person #2, who has a start date working with children of 2/17/20 lacked emergency plan training at time of initial employment; Staff person #2 received emergency plan training on 3/11/20. The staff file for Staff person #3, who has a start date working with children of 3/11/20, lacked emergency plan training at time of initial employment; Staff person #3 received emergency plan training on 6/29/20. The staff file for Staff person #5, who has a start date working with children of 8/20/19 lacked emergency plan training at time of initial employment; Staff person #5 received emergency plan training on 3/11/20. The staff file for Staff person #6, who has a start date working with children of 2/13/20 lacked emergency plan training at time of initial employment; Staff person #6 received emergency plan training on 3/11/20.

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: The staff file for Staff person #2, who has a start date working with children of 2/17/20 and considered a provisional hire, lacked documentation of having applied for the National Sex Offender Registry (NSOR) verification certificate prior to working with children as required by the Child Protective Service Law (CPSL); Staff person #2 had a valid NSOR verification certificate on file dated 3/6/20. The staff file for Staff person #3, who has a start date working with children of 3/11/20 and considered a provisional hire, lacked documentation of having applied for the National Sex Offender Registry (NSOR) verification certificate prior to working with children as required by the Child Protective Service Law (CPSL); Staff person #3 had a valid NSOR verification certificate on file dated 7/15/20 which was not obtained prior to 7/1/20 as required by the CPSL. The staff file for Staff person #4, who has a start date working with children of 9/24/18, contained a valid NSOR verification certificate on file dated 7/9/20 which was not obtained prior to 7/1/20 as required by CPSL. The staff file for Staff person #6 and Staff person #7, who both have a start date working with children of 2/13/20 and considered a provisional hire, lacked documentation of having applied for the National Sex Offender Registry (NSOR) verification certificate prior to working with children as required by the Child Protective Service Law (CPSL); Staff person #6 and Staff person #7 have a valid NSOR verification certificate on file dated 3/6/20.

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.

Noncompliance Area: In the Sunfish Room the thermometer being used inside the refrigerator was observed to be broken.

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: The child file for child #1, who has an enrollment date of 2/26/19, lacked a valid health assessment; the initial health assessment on file was not dated. The child file for child #3, who has an enrollment date of 8/29/18, contained an initial health assessment dated 11/7/18 which was more than 60 days following the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The child file for child #1, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; child #1 was last vaccinated on 1/29/18. The child file for child #2, who is an older toddler, contained a copy of their immunization status which lacked the following immunizations as recommended by the ACIP: Haemophilus influenza type b (Hib), Pneumococcal conjugate (PCV13), Measles, mumps, and rubella (MMR), and Varicella (VAR). The child file for child #3, who is a preschool aged child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; child #3 was last vaccinated in 2016.

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: Child #4 had a Tylenol on site at the facility and the medication log on file was filled out however permission to give consent to administer medication to child was not signed by the parent.

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

Noncompliance Area: The staff file for staff person #1 contained a current health assessment that was conducted on 9/13/18 which was more than 24 months from the previously dated 8/15/16 health assessment on file. The staff file for staff person #2 contained a current health assessment that was conducted on 9/13/18 which was more than 24 months from the previously dated 8/25/16 health assessment on file.

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: The staff file for staff person #1 lacked annual fire safety training; the last documented fire safety training on file is dated 4/11/18.

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.

Noncompliance Area: During a complaint investigation, conducted on 10/2/18, it was verified that there is an infestation of bees inside the facility as evidence by the observance of over 65 dead bees inside the ceiling light fixtures and on the window sills in Perch/Room 7, Trout/Room 6, and Sunfish/Room 8.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: In the Walleye Room resting cots were observed to lack the names of specific children for whom they are to be used by.

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: At approximately 1:20pm, during naptime in the Perch Room, Staff person #2 was observed to be standing near the cabinet fixtures and Staff person #3 was observed to be sitting down at a table. A shelving unit, about knee height, was observed to be obstructing Staff person #2 and Staff person #3's view of a child who was sleeping on the opposite side of the shelving unit. Given where the staff were positioned at the time, they were not able to properly see, direct, and assess that child.

Correction Required: 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.

Noncompliance Area: Staff person #1 self reported that the children have not been going outdoors daily due to the lack of fencing in the outdoor space which would allow for the children to be outside safely.

Correction Required: Weather permitting, children shall be taken out doors daily.

Noncompliance Area: In the Blue Gill room, at approximately 9:53am, an infant was observed to be asleep on a boppy pillow. The infant remained asleep on the boppy pillow until approximately 10:00am once it was brought to Staff person #4's attention. There is no medical reason documented on file by a pediatrician that indicates the child should not be placed in the recommended sleeping position by the American Academy of Pediatrics.

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: The child file for child #1, who has an enrollment date of 3/20/18, lacked an initial health report within 60 days of the first day of attendance.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: In the Perch room an unlabeled jar that contained diaper crme from a child's home was observed.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.