Woodsons Tiny Tots

Noncompliance Area: The file for Child #1, start date May 4, 2020, lacked a health assessment within 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 file for Facility Person #1 contained documentation of mandated reporter training dated 04/13/2015, lacking documentation of mandated reporter training in the last five years. The file also lacked a completed NSOR 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: The agreement on file for child #1 was observed not to contain documentation of the person's whom child #1 is authorized to be released to.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The emergency contact form on file for child #1 was observed not to contain documentation of complete contact information including the phone number for all of the emergency contact persons listed for child #1.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The emergency contact form on file for child #1 was observed not to contain complete information for the child's health insurance coverage.

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: The emergency contact form on file for child #1 was observed not to contain complete contact information including telephone number and address for each of the person's whom child #1 is authorized to be released to.

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: The most recent health report on file for child #1 an older toddler aged child in care was observed not to have been completed within the last 12 months. This is evidenced by the most recently dated health report on file for child #1 being dated 2/20/2018.

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: The immunization records on file for children #1 and #2 were observed not to have been up to date as recommended by the ACIP. This is evidenced by the immunization record on file for child #1 not containing documentation of the child receiving a 3rd dose of the Hepatitis B vaccination and no documentation of child #1 receiving an influenza vaccination. Also, the immunization record on file for child #2 was observed not to contain documentation of an influenza vaccination.

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: Outlet covers were observed to be missing from a power strip located behind the recliner accessible to the children in care in the living room of the family child care home. Also, one outlet cover was observed to be missing from an outlet next to the curio cabinet in the facility's dining room.

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

Noncompliance Area: Behind the recliner in the restroom accessible to the children in care, three plug in air fresheners with a label marked keep out of reach of children were observed to be accessible to the children in care on a shelf.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The file for Child #1, which lacked a health report at the 5/23/17 certification inspection, contained a health report at the 7/28/17 verification visit which lacked both a signature of the medical provider and the 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 must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.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 certification visit on 5/23/17, according to operator report, diapers were being bagged and then taken to an outside can to be disposed of. At the verification visit on 7/28/17, according to operator report, diapers are being placed in a can that lacks a hands-free mechanism.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Nails, screws and dice, all with a diameter of less than 1 inch, were observed in the bottom drawer of the front cabinet in the living room, accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: A blanket alone was being used as rest equipment for one infant and the couch was being used as rest equipment for one infant.

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.Bed linens may not be used alone as age-appropriate rest equipment.

Noncompliance Area: Upon arrival to the facility at 10:00 AM on 5/22/17, an infant was sleeping in a car seat.

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.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 files for Child #1 and #2 lacked Child Service Reports.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: The file for Child #1 contained an agreement that lacked the child's arrival time.

Correction Required: An agreement shall specify the child`s arrival and departure times.

Noncompliance Area: The file for Child #2 contained an emergency contact form that lacked the telephone number of the child's medical provider, the child's health insurance coverage name and the health insurance policy number for the child.

Correction Required: Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care.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: The file for Child #1 contained an emergency contact form that lacked the work name and address of the enrolling parent. The file for Child #2 contained an emergency contact form that lacked the work name, address and telephone number of the enroling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The file for Child #2 contained an emergency contact form that lacked the addresses for the release persons.

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: The files for Child #1 and #2 lacked health reports.

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.A child`s record must contain initial and subsequent health reports.

Noncompliance Area: Multiple unlabeled medications were observed on the counter in the kitchen. An unlabeled Bacitracin was observed in the first-aid kit.

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.

Noncompliance Area: According to operator report, diapers are being bagged and then taken to an outside can to be disposed of.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The file for Staff Person #1 lacked documentation of a current health assessment.

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 on file at the facility.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: The files for Child #1 and #2 contained agreements and emergency contact forms that had not been updated at least once in the last 6-month period.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The file for Child #1 contained an emergency contact form that lacked parental signatures to consent for emergency medical care and the administration of first-aid.

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for Individual #3, a Household Member, lacked documentation of a disclosure statement, child abuse clearance or state police 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. Individual/Household Member #3 may not be present in child care space when children are in care at the facility.

Noncompliance Area: Electrical outlets were observed to be uncovered in a strip under the computer and by the china cabinet in the dining room and on the deck in an extension cord by the door, in a strip under the chair and in an outlet right outside the door.

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

Noncompliance Area: Peeling paint was observed by the doorway in the kitchen.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.