Growing With Grace Christian Preschool

Noncompliance Area: The files of children #1 and #3 lacked emergency contact forms with the address of the individual designated by the parent to whom the child may be released.

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 file of child #2 lacked a health report with a record of the child's immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The file of staff #5 with a start date of 9-24-20 did not have 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 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: The file of staff #1 with a start date of 9-21-20 had only a receipt for the PA State Police clearance and no National Sex Offender Registry document on file. The file of staff #2 with a start date of 9-25-20 had only a receipt for the Child Abuse clearance and no National Sex Offender Registry document on file. The file of staff #4 with a start date of 11-1-19 had only the receipt for the FBI clearance and the National Sex Offender Registry document dated 6-9-20 was late. The file of staff #6 with a start date of 10-15-19 had only the receipt for the State Police clearance. The Child Abuse clearance was dated 11-04-19 and the National Sex Offender Registry document dated 11-7-19; therefore they were late.

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 #6 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 #6 may not work in a child care position at the facility.

Noncompliance Area: Observed in the outdoor play space in the mulched area, a Little Tikes climber with a cracked and damaged plexiglass dome window.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The file of child #1 with an enrollment date of 8-15-16 lacked subsequent health reports, 2017 was missing. The file of child #3 with an enrollment date of 9-17-18 lacked health assessments. There were none present in the file.

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 shall contain initial and subsequent health reports.

Noncompliance Area: The file of child #2 lacked a review of the child's immunized status according to recommendations of the ACIP. There were no vaccinations on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The file of staff #2 with a start date in care with children of 8-19-19 had a health assessment dated 10-14-19. The file of staff #3 lacked an updated health assessment; the most recent one was dated 9-29-17.

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: The file of staff #1 with a start date in care with children of 9-23-19 lacked 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: The file of staff #1 with a start date in care with children of 9-23-19 had PA State Police and Child Abuse clearances dated 10-2-19. The file for staff #1 also lacked an FBI clearance. In addition, there was not documentation of completing Mandated Reporter training for staff #1. The file of staff #2 with a start date in care with children of 8-19-19 had a receipt for PA State Police clearance dated 8-30-19, a Child Abuse clearance dated 9-13-19, and an FBI clearance dated 9-4-19.

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. 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 boys' restroom near the gym lacked hand washing signs at the urinal and in the first stall.

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: Based on interviews it was determined that staff #2 hit child #1 on the head as a means to redirect the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: Based on interviews it was determined that staff #2 hit child #1 on the head as a means to redirect the child.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Noncompliance Area: Based on interviews it was determined that staff #2 hit child #1 on the head as a means to redirect the child.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: Observed in the older toddler room a plastic bin housing wooden blocks that was cracked in many places on the bottom.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The file of child #5 lacked an emergency contact form with the address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file of children #5 and #10 lacked emergency contact forms with the full work address of the enrolling parent.

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

Noncompliance Area: The files of children #5, #6, and #10 lacked emergency contact forms with the full address of the individual designated by the parent to whom the child may be released.

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: Observed in the young toddler room Silver Shield Rescue wound dressing cream not labeled for the use of a specific child.

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: Observed the following expired medications in the older toddler room: Child #2 Equate Infants' Pain and Fever expired 3/2018, child #3 Infants' Tylenol expired 7/2018, child #4 Motrin infants' drops expired 9/2018, child #5 Desitin expired 6/2017 and Little Remedies saline spray expired 11/2017, child #6 prescription Ibuprofen expired 8/2018, and child #1 Desitin expired 7/2018. Observed in the infant room, child #14 Equate brand diaper cream expired 8/2015.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Observed the following medications in the older toddler room without signed parental permission : Child #2 Equate Infants' Pain and Fever, child #3 Infants' Tylenol, child #4 Motrin infants' drops, child #5 Desitin and Little Remedies saline spray, child #6 prescription Ibuprofen, and child #1 Desitin .

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

Noncompliance Area: Observed the following medications in the older toddler room without signed medication log : Child #2 Equate Infants' Pain and Fever, child #3 Infants' Tylenol, child #4 Motrin infants' drops, child #5 Desitin and Little Remedies saline spray, child #6 prescription Ibuprofen, and child #1 Desitin .

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: Observed loose fitted sheets which poses a threat of suffocation in the infant room as follows: green and brown elephant patterned in pack and play labeled for child #10, monkey patterned in pack and play labeled for child #11, blue and white patterned in pack and play labeled for child #12, and tan lions, giraffes, and elephants in crib labeled for child #13.

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

Noncompliance Area: The file of staff #5, with a start date of 3-21-16 lacked emergency plan training annually. The training date on file was 3-21-16 and 10-8-18.

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.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: The files of staff #2, with a start date of 3-15-16 and #3 with a start date of 2-15-18 lacked verification of completing 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: The file of staff #4 with a start in care with children of 10/19/17 lacked a Child Abuse clearance and a PA State Police clearance within 90 days of employment. The only Child Abuse report on file was dated 2/3/18 and the PA State Police was dated 1/26/18. The file of staff #3 with a start date in care with children of 2/5/18 lacked a complete FBI report. The only document on file was the receipt of fingerprinting on 2/5/18.

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: The file of staff #5, identified as and AGS, lacked verification of education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.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: Observed the first aid kit that accompanied the toddler group on their walk lacked a bottle of water. Observed the first aid kits in the older toddler room and the preschool room to be used during excursions lacked a bottle of water.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: Observed fire drill log with the following dates: 3-12-18, 5-25-18. Therefore, the fire drills were held more than 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Observed evacuation routes not posted in the older toddler space.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: Observed in the older toddler room, 1 yellow and 1 red cardboard building block damaged with missing parts. Observed in the pre-school room, 8 Magna Tiles damaged with missing parts.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The young toddler, older toddler, and pre-school rooms did not have the daily activities posted.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Noncompliance Area: The files of children #1 and #4 lacked child service reports.

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: The file of child #3 lacked an agreement with the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The files of #1, #3, and #4 lacked agreements with the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The files of children #1, #2, #3, #4, and #5 lacked information for extra services or N/A if not applicable.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: The files of children #1 and #4 lacked emergency contact forms with the full physical address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file of child #1 lacked an emergency contact form with the work address of the enrolling parent.

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

Noncompliance Area: The files of children #1 and #4 lacked emergency contact forms indicating information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or N/A if the information is not applicable.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: The file of child #4 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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 file of child #1 lacked an emergency contact form with the full physical address of the individual designated by the parent to whom the child may be released.

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 file of staff #1 lacked a health assessment. Staff #1 is a volunteer maintenance person for the facility, having regular contact with the children in care.

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 facility lacked information about safe pedestrian crossways, pick-up and drop-off points and bike routes for the facility and communicated to the children and parents in writing.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing.

Noncompliance Area: The facility lacked a posting of the applicable regulations under which the facility is certified and instructions for contacting the appropriate regional day care office.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The file of staff #1 lacked a Child Abuse clearance and a signed Disclosure statement. Staff #1 is a volunteer maintenance person for the facility, having regular contact with the children in care.

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 #--- may not work in a child care position at the facility.

Noncompliance Area: Observed in the pre-school room on the counter to the right of the microwave a power strip with 1 electrical outlet not covered with a protective receptacle cover.

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

Noncompliance Area: The facility lacked a posting for the nearest hospital, police department, fire department.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: In the infant and toddler outdoor play space, observed 1 exposed screw on the side wall of the PVC pipe. In the pre-school playground observed a broken fence cap with sharp edges in the fence section located parallel to the building with a white wall.

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.