Sherk Heinold Childrens Center Llc

Noncompliance Area: In the infant 2 classroom, it was observed that an infant was sleeping in a pack-n-play with bumbo seats on each side, not allowing for the 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: In the school age room, there was no written plan of daily activities posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The file for child #5 lacked an agreement signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The agreement for child #5 lacked the fee amount.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The agreement for child #5 lacked the arrival and departure times.

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

Noncompliance Area: The agreement for child #5 lacked the admission date.

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

Noncompliance Area: The files for child #1, #2, #3, #4, and #5 all contained the original agreement forms.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The emergency contact form for child #5 lacked the enrolling parent's work address and telephone number.

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

Noncompliance Area: The emergency contact form for child #1 lacked 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: The emergency contact and financial forms for child #2 were signed off on 6/26/19 and 1/20/20, which is more than 6 months apart.

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: The initial health assessment for child #4, with a start date of 3/4/19, was dated for 1/9/20, which is more than 60 days after enrolling in the program.

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: The immunization record for child #4, lacked an influenzas vaccination in accordance with 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 for staff person #1, completed mandated reporter training on 6/18/15 and 7/25/20, which is more than 60 months apart. The file for staff person #2, applied for the National Sex Offender Registry on 5/1/20, no certificate on file. The file for staff person #3, with a start date of 6/2019, lacked mandated reporter training.

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. 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: In the preschool room, the doorframe around the door leading to the hallway, had an area of peeling paint the size of a baseball.

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

Noncompliance Area: In the older toddler classroom, the white plastic chest of drawers was observed to be cracked along the middle right edge exposing the children in care to rough edges, sharp corners and pinch and crush points.

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: In the younger toddler classroom one loose staple was observed on the floor next to the bulletin board where multiple staples were observed being used to hold up postings. The staple on the floor was less than 1 inch in diameter and was accessible to younger toddler aged children who are still placing objects in their mouths.

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: Large grey plastic cabinets approximately 6 feet tall were observed not to be anchored to the wall in the younger toddler, older toddler and preschool aged classrooms. These cabinets are top heavy and create a falling hazard to the children in care.

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

Noncompliance Area: In the infant 1 classroom one high chair was observed not to have the T-shaped safety strap in place at the time of inspection.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: A written plan of daily activities was observed not to be posted in the group space in the infant 2 classroom.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The child service report on file for children #1 (date of enrollment 8/14/18) and child #2 (date of enrollment 7/17/18) were observed to be completed greater than 6 months from the date of enrollment. This is evidenced by the child service report on file for children #1 and #2 being dated 5/2019. Also, the file for child #3 was observed not to have a child service report on file completed within the last 6 months. This is evidenced by the most recently dated child service report on file for child #3 being dated 12/2018.

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 emergency contact form on file for child #2 was observed not to contain documentation of the child's physician's telephone number.

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 emergency contact form on file for child #2 and #4 were observed not to contain complete work information for 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 emergency contact form on file for child #4 was observed not to contain the policy number for the 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 on file for child #3 was observed not to contain the address for each of the person's whom child #3 is authorized to be released to.

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 initial health assessment on file for child #1 (date of admission 8/14/18) and child #2 (date of admission (7/17/18) were observed not to have been obtained within the child's first 60 days of enrollment. This is evidenced by the initial health assessment on file for child #1 being dated 5/22/2019 and for child #2 being dated 10/16/18.

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: The most recent dated health report on file for child #3 a preschool aged child in care was observed to be greater than 12 months old. This is evidenced by the most recently dated health report on file for child #3 being dated 6/4/2018.

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 immunization record on file for child #3 was observed not to contain documentation of child #3 obtaining and influenza vaccination within the last 12 months as recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The emergency contact form on file for child #2 was observed not to contain signed parental consent for administration of minor first aid procedures.

Correction Required: A child's record shall 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 staff person #2 whose date of hire was 7/1/2019 was observed to only contain documentation of one written, non family reference.

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 for staff person #1 whose date of hire was 7/11/2019 was observed not to have on file documentation of a valid Pennsylvania State Police Criminal History Clearance. This is evidenced by the clearance on file being for volunteer purposes.

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: In the older toddler classroom one protective receptacle cover was observed to be missing from the receptacle located behind the book shelf on the right wall of the classroom.

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

Noncompliance Area: In the preschool classroom the boiler room containing cleaning materials and other toxic materials was observed not to be locked and inaccessible at the time of inspection.

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: In the preschool classroom a bottle of pink cleaning solution was observed not to be labeled with its contents.

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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: In the younger toddler classroom the outlet plate that surrounds the electrical receptacle located behind the bookshelf on the right wall of the classroom was observed to be broken almost in half creating a visible hazard to the children in care.

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.

Noncompliance Area: In the upstairs gross motor room, damaged plaster was observed to the right of the door as you enter the classroom from what appears to be chairs hitting off of the wall.

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

Noncompliance Area: Two out of the three cribs in the infant room, had sheets that were too loose. The loose sheets present a suffocation hazard.

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

Noncompliance Area: Hand washing signs were absent from the ground floor bathrooms.

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: IN the school age room, two of the three exits out of the building were blocked. The one exit was blocked with only one chair while the exit opposite that one was blocked with a plethora of toys.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: High chairs #5 and #6 were missing their straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: The thermometer inside the pre-school room measured the refrigerator temperature to be 50 degrees.

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: The policy number for child #2 was missing from 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: The addresses of the release person's for children #1 through #5 were missing from the emergency contact form.

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 files show that child #3 has not had a health assessment since 2-28-29017.

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: Two bottles in the infant room were not labeled.

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

Noncompliance Area: The parents of child #1 and child #3 have not updated their child's emergency contact forms in the last 6 months. The last time child #! had the forms reviewed was 10-16 -2017 and the last time child #3 had the forms reviewed was 9-27-2017.

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 #3 does not contain a parental signature for either emergency care nor the administration of minor first aid.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall 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 staff member #3 does not contain proof of education.

Correction Required: 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 crib sheets in three children's Pack and Play's in the infant room were very loose. This could cause a suffocation hazard.

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

Noncompliance Area: The file for staff person #2 lacks proof of initial Emergency Plan Training.

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: Staff member #1 does not have proof of having been finger printed. Staff member #1's start date was 7-2-2018 and has the PA State Clearances and the Child Abuse Clearances on file. Staff member #1 was working as a provisional employee at the time of the inspection.

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

Noncompliance Area: The first aid kit in the OT room was missing tweezers and scissors from the first aid kit.

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: The room attached to the infant room did not have the list of daily activities posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The emergency contact form for child #1 lacks the name of the physician, the physician's name and the physician's address.

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 emergency contact forms for children #1,#2 and #3 lack the addresses of the release person(s).

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: There was a screwdriver loose in the bottom drawer of a file cabinet that was easily accessible to children in the preschool room. A child may use it as a weapon or injure another child if he/she were to get hold of it. The lock on the kitchen door was broken.

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

Noncompliance Area: Staff person #1 did not have complete FBI clearances. Staff persons #2 and #3 did not sign updated disclosure statements when they reapplied for their clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The kitchen was accessible to children and had many serrated and sharp knives in the drawers as well as a plethora of cleaning solutions and toxins under the sinks. Children may get cut or injured on the knives, and ill on the toxins if they are not secured.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.