Phenomenal Childrens Daycare

Noncompliance Area: Facility person # 1 & # 2 do not have a NSOR on file that was required to be on file by July 1, 2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 & 2 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 may not work in a child care position at the facility.

Noncompliance Area: Inspector observed two play pens that are not labeled for the use of a specific child and used only by the specified 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: Children 1 - DOE 11.6.17 and 2 - DOE - 6.5.17 have been enrolled for more than 6 months and do not have child service reports on file. Child 7 - DOE 2.14.18 doe snot have an updated child service reports on file. Last child service report on file is dated 8.13.18.

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: Emergency contact info and fee agreement for child 3 - DOE - 8.1.16 has not been updated within a 6 month period. Child 3 has an emergency contact form and fee agreement on file - updated 4.22.17 and 3.23.18. Child 4 - DOE - 8.1.16 has a fee agreement on file that was not updated within 6 months. Child 4 has a fee agreement on file dated 3.23.18 and 3.23.19.

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: Children 5 and 6's record does not contain signed parental consent for emergency medical care for the child nor does it contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: Child 1 - DOE 11.6.17 record does not contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. Inspector observed 1 fee agreement on file dated 3.1.19. Child 5 does not have a fee agreement on file.

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 1 has two completed state police clearances on file however, both state police clearances do not have staff 1's correct DOB. The state police clearance on file dated 6.10.16 has a DOB of 7.20.50 and the other state police clearance on file dated 12.13.18 has a DOB on file of 7.19.50 Staff person 1's DOB is 7.29.50. Staff 1 and 2 do not have proof of child abuse clearance on file nor do staff 1 and 2 have a completed child abuse clearance on file. Staff 3has an incomplete state police clearance on file. Staff 3 has a state police clearance on file that does not have a seal.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 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: Fire drills are not being conducted at least four times a year. Fire drills were done on 1.8.18, 5.23.18 and 10.4.18.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: Provider has two play pens. Neither play pen is labeled with a for the use of a specific child and used only by the specified child. Inspector observed provider remove a child (boy) from the play pen and within minutes place another child (girl) into that very same play pen.

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: Inspector observed ch 9 DOB - 9/13/17 sitting in a baby rocker from 11:45 until 1:28. Inspector observed child 5 sitting strapped in a highchair from 11:45 until approx. 12:30. Staff took child 5 out of the high chair and let ch 5 play on the floor for approx. 10 min. Staff removed ch 6 - DOB - 3/7/17 who was in the play pen from 11:45 until approx. 12:30 and placed ch 6 in high chair and strapped ch 6 in. Staff then placed ch 5 in same play pen where ch 6 was just removed from. Child 7 - DOB - 8/5/17 was in the second play pen from 11:45 until ch was given a sippy cup with milk and fell asleep with cup of milk around 1:10. Inspector mentioned several times that children should not have their movement restricted for such a long period of time.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: Fee agreement for children 1 and 4 do not specify the amount of the fee to be charged per day or per week. Fee agreement for children1, 2 and 4 do not specify the date on which the 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: Child 5 - DOB - 9/18/16 - DOE - 6/12.17 does not have a child service report on file and has been enrolled for more than 6 months. Child 3 has a child service report on file however information is not provided to the family about the child's growth and development in the context of the services being provided.

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: Fee agreement for child 5 does not specify the child's departure time.

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

Noncompliance Area: Fee agreement for child 2 does not specify 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: Fee agreement for child 1 does not specify the date of the child's admission.

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

Noncompliance Area: Emergency contact form for children 1 and 2 does not reference who shall be contacted in an emergency.

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: Emergency contact form for child 5 does not include 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: Emergency contact form for children 1, 2, 7 and 8 do not include written consent signed by a parent for emergency medical care. Written consent is required prior to admission.

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: Emergency contact form for children 3 and 5 does not include health insurance coverage and policy number for a child.

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: Emergency contact form for child 9 does not include the name, address and telephone number 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: Child 3 - DOE - 6/5/17 does not have a 6 month updated emergency contact form on file. Emergency contact from on file is dated 5/31/17. Child 3's fee agreement was not updated within 6 months. Dates on child 3's fee agreement are 5/31/17 and 3/23/18. Child 5 - DOE - 6/12/17 did not receive 6 month updates on both the fee agreement and emergency contact from. The emergency contact form has dates 6/12/17 and 3/23/18. The fee agreement has dates 6/12/17 and 1/8/18.

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: Child 4 - DOE - 11/6/17 does not have an initial health report on file dated no later than 60 days following the first day of attendance at the facility. The health report on file for child 4 is dated 3/29/18.

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: Child 6 - DOB - 3/7/17 DOE - 11/7/17 does not have an updated health report at least every 6 months on file. Health report on file is dated 5/31/17.

Correction Required: 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: Inspector observed staff 2 provide snack to child without washing ch's hands. Inspector observed staff 1 give child 9 a bottle and not wash ch's hands. Inspector observed two diaper changes and staff did not wash her hands or the children's hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Staff 1 - DOH - 1/27/18 does not have a health assessment or tb screening 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 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: Inspector observed a bottle in the refrigerator that is not labeled with the child's name.

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

Noncompliance Area: Child 7 - DOB - 8/5/17 was given a sippy cup and fell asleep with sippy cup in mouth.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Noncompliance Area: Staff 1 does not have a valid state police clearance on file. Staff 1 has a volunteer state police clearance on file dated 3/27/18. Staff 1 is a household member and staff person.

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: Children 6, 8 and 9 do not have updated child service reports on file.

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: Children 3 and 4 do not have release persons listed on the fee agreement. Children 3 and 4 are missing addresses for release persons on the emergency contact form. Children 6 and 9 do not have release persons name, address and phone number listed on the emergency contact form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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: Children 1, 2, 5, 6 and 9 do not have a date of admission listed on the fee agreement.

Correction Required: An agreement shall specify the date of the child`s admission.A child`s record must contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: Children 1 and 2 do not have the address of the physician listed on the emergency contact form. Child 5 does not have the phone number of the physician listed on the emergency contact form.

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: Emergency contact form for children 4, 5 and 9 does not have 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. 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: Emergency contact form for children 1 and 2 do not include health insurance coverage listed. Emergency contact form for children 3 and 4 do not include health insurance policy number listed. Emergency contact form for child 5 does not have health insurance coverage and policy number listed.

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 5, 7, 8 and 10 do not have updated emergency contact forms on file. Emergency contact forms and fee agreements for child 6 and 9 were not updated within the 6 months. Fee agreements for children 7, 8 and 10 were not updated within 6 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: Children 1, 2, 3 and 4 do not have child health assessments and immunizations on file and have been enrolled for more than 6 months.

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: Children 6 and 9 have health assessments on file that do not include a 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 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: Staff person 2 does not have a health assessment and tb screening on file and cooks for the children.

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.

Noncompliance Area: Inspector observed knives in an unlocked draw in the kitchen, providers husband cooking on the stove and the stove does not have a stove guard, and needles in the medicine cabinet in the bathroom on on the first floor. Knives, needles and stove are accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Emergency contact forms for children 1, 2, 4, 5 and 9 do not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: Staff 2 does not have a file.

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

Noncompliance Area: Emergency plan was not reviewed/updated annually. Last review/update was 3/15/16. None of the staff have emergency plan training on file.

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. 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: Staff 2 does not have proof of request for s child abuse clearance, state police clearance and fbi clearance on file. Staff 2 does not have completed state police clearance, child abuse clearance and fbi clearance on file. Staff 2 does not have mandated reporter training on file nor does staff 2 have a signed disclosure statement on file. Staff 2 is the cook for the facility and staff person 2 in the home when children are present.

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: Inspector observed cleaning materials in the cabinet under the sink in the kitchen, bleach in the cabinet under the sink in the bathroom and wipes in the cabinets that are located in the area where the computer is set up. All toxics are labeled keep out of reach of children.

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: A fire drill was not conducted at least four times a year. Fire drill was conduted 3/9/16, 6/13/16 and 9/9/16.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.