Wydiah Walkers Day Care

Regulation: 3280.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: During renewal inspection, cert rep observed expired health assessments in the files of Child 1, 2, and 3.

Correction Required: A child's record must contain initial and subsequent health reports.

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: During renewal inspection, cert rep observed missing health assessment documentation in the file of Staff 1.

Correction Required: 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.

Regulation: 3280.111(b)

Description: Posted in area used by parents

Noncompliance Area: During renewal inspection, cert rep observed missing posting for the daily activities and routines.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: During renewal inspection, cert rep observed incomplete emergency contact forms in the files of Child 1 and Child 2.

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

Regulation: 3280.94(a)(9)

Description: Written record

Noncompliance Area: During renewal inspection, cert rep observed missing fire drill log at the facility.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/18/19, OBSERVED A CHILD SLEEPING ON A MAT THAT WAS NOT LABELED.

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: DURING THE RENEWAL INSPECTION ON 11/18/19, CHILD 2 FORM DID NOT HAVE A CONSET FOR EMERGENCY MEDICAL CARE.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/18/19, CHILD 1 EMERGENCY CONTACT FORM DID NOT LIST THE CHILDS MA POLICY NUMBER ON THE FORM.

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: DURNG THE RENEWAL INSPECTION ON 11/18/19, THERE WAS NO WRITTEN CONSENT FOR MINOR FIRST AID ON THE EMERGENCY CONTACT FORM.

Correction Required: 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: DURING THE RENEWAL INSPECTION ON 11/18/19, STAFF 2 FILE WAS MISSING THE FBI AND STATE POLICE RAP SHEET FROM THEIR FILE. STAFF 2 FBI AND STATE CLEARANCE CONTAINS CHARGES WITH UNREPORTED DISPOSITON AND FILE DOES NOT CONTAN DOCUMENTATION OF REQUEST FOR DISPOSITION OF CHARGES. A DISPOSITION FOR EACH CRIME IS REQUIRED IN ORDER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES (CPS) LAW AND 55 PA CODE CHAPTER 20.

Correction Required: STAFF 2 MUST OBTAIN DIPOSTION OF CHARGES WITHIN 30 DAYS AND PROVIDE DOCUMENTATION. STAFF 2 MUST BE SUPERVISED AT ALL TIMES UNTIL DISPOSITON IS OBTAINED.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/18/19, THE FIRST AID KIT WAS MISSING GAUZE.

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: DURING THE RENEWAL INSPECTION ON 11/18/19, THERE WAS PEELING PAINT IN THE BACK ROOM WHERE THE EXTRA COTS SITS.

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

Noncompliance Area: DURING THE ALLOCATED INSPECTION ON 4/2/19, THERE WERE TWO YOUNG TODDLERS SLEEPING IN HIGH CHAIRS.

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: DURING THE ALLOCATED INSPECTION ON 4/2/19, SEVEN CHILDREN WERE NOT BEING SUPERVISED. THE ONE STAFF THAT WAS WORKING WAS IN FRONT OF THE FACILITY NEXT TO THE DESK WITH A SCHOOL AGER AND INFANT.

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: DURING THE ALLOCATED INSPECTION ON 4/2/19, ALL THE CUPS WERE NOT LABELED.

Correction Required: Disposable nursers, cups and bottles shall be labeled with the child's name.

Noncompliance Area: DURING THE ALLOCATED INSPECTION ON 4/2/19, THERE WAS ONE STAFF PRESENT WITH 9 CHILDREN. (1- OSA, 5 PS, 2 OT, 1 INFANT)

Correction Required: A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in 3280.52(b) or (c) requires a second or third staff person.

Noncompliance Area: DURING THE ALLOCATED INSPECTION ON 4/2/19, THERE WERE ELECTRIC OUTLETS MISSING COVERS IN THE ROOM IN THE BACK. THIS WAS CORRECTED ON SPOT.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 12/3/18, THERE WAS ONE STAFF PRESENT WITH 12 CHILDEN. (1 INFANT, 2 YT, 8 PRESCHOOLERS, 1 OLDER SCHOOL AGER. CONTINUE NON COMPLIANCE FROM SIN 00144937.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b).

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 12/3/18, THERE WERE 13 CHILDREN PRESENT AT THE FACILITY, THREE OF THE CHILDREN BELONGED TO THE OWNER. CONTINUE NON COMPLIANCE FROM SIN 00144937.

Correction Required: The related or foster children of an operator and the children or foster children of a staff person shall be counted in the capacity for the space.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, ALL OF THE COTS WERE NOT LABELED. SOME COTS WERE ALSO BUSTED ON THE SIDE CAUSING A POTENTIAL HAZARD.

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: DURING THE RENEWAL INSPECTION ON 11/6/18, THERE WERE NO DAILY SCHEDULE POSTED IN THE FACILITY. THE OWNER STATED SHE REMOVED ALL POSTINGS DUE TO PAINTING THE FACILITY.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, STAFF 1 LEFT 12 CHILDREN UNATTENDED WHEN SERVING LUNCH TO THE CHILDREN. STAFF 1 WAS OUTSIDE OF THE ROOM IN FRONT OF THE KITCHEN PREPARING THE CHILDREN FOOD.

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: DURING THE RENEWAL INSPECTION ON 11/6/18, THERE WERE NO WRITTEN PLAN IDENTIFYING THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE AND STAFFING PROVISIONS POSTED. THE OWNER STATED SHE JUST PAINTED AND REMOVED ALL POSTINGS.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, STAFF 2 FILE DID NOT HAVE VERIFICATION OF A PHYSICAL AND TB TESTING BEING CONDUCTED 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.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 ON 11/6/18, STAFF 2 FILE DID NOT HAVE VERIFICATION OF TWO NON FAMILY REFERENCE LETTERS ON FILE.

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 ON 11/6/8 THE FACILITY EMERGENCY PLAN HAS NOT BEEN UPDATED SINCE 2017.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, THE EMERGENCY PLAN HAS NOT BEEN SENT TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: DURING THE RENEWAL ISNPECTION ON 11/6/18, STAFF 2 FILE WAS MISSING DOCUMENTS. STAFF 2 WAS MISSING RECEIPT FOR STATE POLICE, CHILD ABUSE AND VERIFICATION OF FINGER PRINTS BEING CONDUCTED. STAFF 2 WAS HIRED ON 10/30/18 AND DID HAVE A SIGNED DISCLOSURE STATEMENT ON FILE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--2- may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, STAFF 2 FILE DID NOT CONTAIN VERIFICATION OF EDUCATION IN THEIR FILE.

Correction Required: A secondary staff person shall have obtained a high school diploma or a general educational development certificateA facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, STAFF 1 WAS OUT OF RATIO WHILE SERVING SNACK. STAFF 1 HAD 12 CHILDREN WITH ONE BEING AN INFANT.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b).

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, THERE WERE 15 CHILDREN PRESENT AT THE FACILITY EXCEEDING THE CAPACITY OF 12.

Correction Required: The related or foster children of an operator and the children or foster children of a staff person shall be counted in the capacity for the space.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, THERE WAS AN OUTLET SOCKET WITHOUT A COVER ACCESSIBLE TO TODDLERS AND PRESCHOOLERS IN THE BACK ROOM CAUSING A POTENTIAL HAZARD TO THE CHILDREN.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/18, THERE WERE NO EVACUATION ROUTES POSTED IN THE FACILITY. THE OWNER STATED SHE HAD JUST PAINTED AND REMOVED ALL POSTINGS.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12/8/17, THE OWNER WAS UNABLE TO PROVIDE THE CERTIFICATE OF COMPLIANCE FOR THE CRIB.

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: DURING THE RENEWAL INSPECTION ON 12/8/17, FIVE CHILDREN FILES WERE REVIEWED. CHILD 5 EMERGENCY CONTACT FORM DID NOT STATE THE RELEASE PERSON'S ADDRESS.

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: DURING THE RENEWAL INSPECTION ON 12/8/17, FIVE CHILDREN FILES WERE REVIEWED. CHILD 2,3,4 AND 5 AGREEMENT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS. CHILD 5 EMERGENCY CONTACT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12/8/17, FIVE CHILDREN FILES WERE REVIEWED. CHILD 5 FILE DID NOT HAVE VERIFICATION OF A PHYSICAL BEING CONDUCTED.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12/8/17, FIVE CHILDREN FILES WERE REVIEWED. CHILD 2 EMERGENCY CONTACT FORM DID NOT HAVE A CONSENT FOR EMERGENCY MEIDCAL CARE.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12/8/17, FIVE CHILDREN FILES WERE REVIEWED. CHILD 2 EMERGENCY CONTACT FORM DID NOT HAVE CONSENT FOR ADMINISTRATION OF MINOR FIRST AID.

Correction Required: 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: DURING THE RENEWAL INSPECTION ON 12/8/17, ALL STAFF FILES WERE REVIEWED. STAFF 2 AND 3 FILE DID NOT CONTAIN VERIFICATION OF BEING TRAINED IN THE EMRGENCY PLAN.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12/8/17, A WALK THROUGH CONDUCTED OF THE FACILITY. THE BASEMENT DOOR WAS UNLOCKED WITH TOXICS ACCESSIBLE TO CHILDREN, CAUSING A POTENTIAL HAZARD.

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.