Susquehanna Valley Child Dev Center

Noncompliance Area: Cert rep. made a complaint visit to the facility and viewed video footage of child #1 taking one big step on top of a shelf then falling from the shelf to the other side, injuring his arm. Facility person #1, who was in charge of supervising the 10 preschool children can be seen sitting with her back turned to several of the children in the room during the time child #1 climbed on the shelf. Facility person #1 stated that she did not see the incident.

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. The legal entity must arrange for the director and/or legal entity to attend an Existing Provider Orientation session located at the Northeast Regional Day Care Office in Scranton, PA. The next session is being held on 11/19/19 and you must contact the office at (800) 222-2108 to make a reservation. Documentation of attending the session must be kept on file to verify attendance.

Noncompliance Area: On 7/11/19 child #1 was injured at the facility at approximately 10:30AM and the parent was not notified about the injury until 3:15PM. After staff interviews were conducted it was determined that child #1 was showing signs of injuring his arm. Child #1 required emergency medical treatment for the injury.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Noncompliance Area: There is a box of latex gloves accessible on a shelf in the bathroom in the older toddler room

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: Child file #2 is missing the health insurance policy number on the emergency contact 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: Child #1 is missing an updated rotovirus immunization

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

Noncompliance Area: Facility persons #1,2,3,4,5 and 6 do not have two years (2500 hours) of child care experience documented in their files to qualify for their current positions and facility person #7 is missing documentation to verify education and one year (1250 hours) of experience to qualify for current position.

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

Noncompliance Area: There is some embedded equipment that does not have 9 inches of loose-fill underneath it

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: There are pieces of mulch that are less than an inch in diameter spilling into the infant/toddler play yard where the fence connects to the preschool /school-age play yard

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: There are some plastic bags accessible in a low drawer in the Preschool Prep Room which includes older toddlers.

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: The lid is broken on the garbage can located in the infant room by the indoor play space. The cloth chair in the Pre-K room is torn exposing the foam filling. The microwave in the Pre-K Room is located on a shelf over the sink and extends beyond the length of the shelf creating a potential tipping hazard.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: There are three infants at the facility that have mats to sleep on and another infant was sleeping in a bassinet. Safe sleep practices require all infants sleep in a crib as this is the only age-appropriate rest equipment approved for infants.

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: Child #5 was sleeping in a bassinet and infant was propped up due to parent's request because of a medical issue. A medical note from a doctor and parent's written permission is not on file. Facility person #6 stated that she puts infants to sleep on their stomachs or on their backs when placing in a crib.

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: Child file #1 does not have the release persons listed on the agreement

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

Noncompliance Area: Child file #2 does not have an initial health assessment on file for an infant. Child file #3 does not have an updated health assessment on file.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.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: Child file #4 has a health assessment on file that is over a year old

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: Facility persons #1,3,4,5 and 6 do not have six hours of annual child care training documented in files

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Facility person #2 has a date of hire listed as 11/13/17 and has criminal and child abuse clearances for a volunteer and not an employee

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 until accepted clearances are on file.

Noncompliance Area: OPERATOR DID NOT NOTIFY THE NE REGIONAL OFFICE WITHIN 24 HOURS AFTER A CHILD IN CARE RECEIVED EMERGENCY ROOM TREATMENT FOR AN INJURY RECEIVED AT CHILD CARE FACILITY.

Correction Required: The operator shall immediately notify a child`s parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Noncompliance Area: OBSERVED AN EXPOSED BOLT ON THE LITTLE SLIDING BOARD IN THE OT PLAYGROUND. THE DEPTH OF THE WOOD MULCH IN THE PS PLAYGROUND AROUND EMBEDDED EQUIPMENT MEASURED 6" DEEP WHICH IS LESS THAN THE REQUIRED 9".

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. Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: NO THERMOMETER IN REFRIGERATOR IN INFANT ROOM,

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: CHILD #2 DOES NOT HAVE ARRIVAL AND DEPARTURE TIMES ON THE FEE AGREEMENT,

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

Noncompliance Area: CHILDREN #3, #4 & #7 DO NOT HAVE HEALTH INSURANCE POLICY NUMBERS ON THE EMERGENCY FORMS.

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: CHILD #1, DATE OF ADMISSION 11/2016, DOES NOT HAVE A VACCINATION RECORD OR INITIAL HEALTH ASSESSMENT ON FILE AT FACILITY. CHILD HAS BEEN ENROLLED AND ATTENDING FOR MORE THAN 60 DAYS.

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.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: CHILD #6, DOB 4/3/15, HAS A HEALTH ASSESSMENT THAT IS DATED 6/10//15. CHILD IS CURRENTLY AN OLDER TODDLER BUT HAS BEEN IN CARE SINCE AN INFANT.

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: IN THE YOUNG TODDLER ROOM DIAPERS ARE NOT BEING DISPOSED OF IN A HANDS-FREE LIDDED CAN.

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: FACILITY PERSON #2, DOH 8/26/16, HAS AN INITIAL TB SCREENING DATED 3/23/15, WHICH WAS OLDER THAN 1 YR AT THE TIME OF HIRE.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: OBSERVED AN INFANT BOTTLE THAT WAS NOT LABELED WITH A CHILD'S NAME IN THE WOBBLY WALKERS ROOM.

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

Noncompliance Area: FACILITY PERSON #1 IS EMPLOYED AS AN AGS BUT DOES NOT HAVE A HS DIPLOMA OR TWO YEARS OF EXPERIEINCE WITH CHILDREN PROPERLY DOCUMENTED IN THE FILE.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: CLEANING SOLUTIONS ABOVE SINK WERE ACCESSIBLE TO CHILDREN IN THE PRE K 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: OBSERVED A CORD HANGING FROM A CD PLAYER IN THE PRE K ROOM THAT IS A TIPPING HAZARD.

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.