Yenework Zeleke

Noncompliance Area: The fee agreement for child #2 did not specify the fee amount and the date fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The fee agreement for child #2, #5 and #6 did not specify child's arrival and departure times.

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

Noncompliance Area: The fee agreement for child #2 and #5 did not specify release persons and child's admission date.

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

Noncompliance Area: The emergency contact information for child #5 did not include health insurance coverage and policy number.

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 for child #1 (DOB: 8/25/15) did not contain an updated health assessment at least every 12 months, previous one dated 11/5/18. The file for child #4 (DOB: 5/29/18) did not contain an updated health assessment, previous one dated 1/31/19.

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 emergency contact information for child#1 was last updated/signed 6/17/19. The emergency contact information for child #2 was updated/signed 4/5/19 and 2/11/2020, not at least once in a 6 month period. The agreement form for Child #2, #3 and #4 did not appear to be updated at least once in a 6-month period as no dates were contained on the documentation. The emergency contact form for child #3 and #4 did not appear to be updated at least once in a 6 month period, as there were no dates contained on the documentation. Last updates documented on 12/5/18.

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.

Noncompliance Area: The file for child #2 did not contain signed parental consent for emergency medical care and consent for administration of minor first aid procedures.

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 child #2 did not contain signed parental consent for transportation and walking excursions. Facility does not take children swimming or wading.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The file for child #5 (enrolled 8/30/19) did not contain an initial fee agreement, only agreement on file dated 2/7/2020.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The file for staff person #1 and #2 did not include documentation of mandated reporter training and a signed disclosure statement. The file for staff person #2 (unknown hire date, but has been over a year) did not include an FBI clearance. Staff person #2 may not work in a child care position at the facility.

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

Noncompliance Area: It was observed that rest equipment was not labeled for use of a specific child.

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: Infant child was observed sitting in a car seat for approximately 30 minutes.

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

Noncompliance Area: It was observed that Staff person #1 took 3 children into another room to use the bathroom, leaving one child unsupervised in the main child care space.

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: Infant child was observed sleeping in a car seat.

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 fee agreement for child #1 did not specify the date on which fee is to be paid or the persons designated by parent to whom child may be released.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The fee agreement for child #2 was not signed by the operator, nor did it contain the child's admission date.

Correction Required: An agreement shall be signed by the operator and the parent .An agreement shall specify the date of the child's admission.

Noncompliance Area: The emergency contact forms for children #1 and #2 did not include the policy number for their health insurance. The emergency form for child #2 did not contain the name of child's health insurance.

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 for child #1 and child #2 did not contain complete addresses for 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: It was observed that facility did not have a written emergency transportation plan displayed conspicuously in every child care space.

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: The emergency contact form for child #1 was not updated within a 6 month period.

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 information

Noncompliance Area: The fee agreement and emergency contact form for child #2 was not updated/signed by parent at least once in a 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 #3 did not contain a copy of the current fee agreement.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: Staff person #2 was observed providing child care to an infant, but did not have a individual record at a the facility.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: The file for staff person #1 did not contain verification of education or experience, nor did it contain 2 written non-family references.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: It was observed that the current certificate of compliance, a copy of the regulations and information on how to contact the appropriate regional day care office was not posted in a conspicuous location used by parents.

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 for staff person #1 did not contain an updated child abuse clearance (previous dated 1/4/13) and a copy of the disclosure statement

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.

Noncompliance Area: It was observed that the last fire drill held at the facility was in September 2018.

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

Noncompliance Area: It was observed that the emergency contact form for Child #3 was incomplete and only contained the child's name.

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

Noncompliance Area: It was observed that Child #2 did not have a health report and record of immunization status on file within the first 60 days 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: It was observed that Child #1 did not have an updated health report at least every 12 months and was in need of an update.

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: It was observed that Staff #2 did not have a health assessment at initial employment. It was also observed that Staff #3 did not have an updated health assessment within 24 months of her previous 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.

Noncompliance Area: It was observed that the record of Staff #2 did not include tuberculosis screenings at initial employment.

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: At the time of the inspection, operator was unable to show a current copy of the insurance policy for the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: It was observed that the emergency contact information and agreement forms for Child #1 and Child #4 were not reviewed and updated by parents at least once in a 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.

Noncompliance Area: It was observed that the record of Child #2 and Child #3 did not include written agreements between the parents and the operator.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: It was observed that Staff #2 and Staff #3 did not receive training regarding the emergency plan training a the time of initial employment and on an annual basis.

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: It was observed that the record of Staff #1 contained a Child Abuse Clearance that expired 1-4-18. It was observed that the record of Staff #2 did not include State Police, Child Abuse and FBI Clearances. It was observed that the record of Staff #2 also did not contain Mandated Reporter Training. It was also observed that Staff #2 and Staff #3 did not sign a disclosure statement upon hire.

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.

Noncompliance Area: It was observed that the record Staff #1, the only staff person present at the time of the inspection, contained a certificate of first-aid training that expired on 5-20-2017.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: It was observed that there was not an agreement or emergency contact information for Child #1.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Noncompliance Area: It was observed that the emergency contact information for Child #5 did not include written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: It was observed that the emergency contact information for Child #3 & #4 did not include complete health insurance information.

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: It was observed that the emergency contact information for Child #2, #3 & #4 did not include 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: It was observed that emergency contact information and financial agreement for Child #2 was not reviewed and updated at least once in a 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.