Mini Miracles

Noncompliance Area: Child #1 does not have an admission date on the fee agreement.

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

Noncompliance Area: Child #1 does not have a medical insurance policy number on the emergency contact information 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: Rep observe broken areas on white vinyl fence separating play yard from neighbor's yard. The edges of the broken areas are sharp and accessible to children.

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: Rep observed plastic garbage bags on the patio that are used to store extra toys and equipment. The plastic bags are accessible to young 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: Rep observed pack & plays that were not labeled for use by a specific child. Rep also observed a child sleeping in a pack & play that was up against walls on 2 sides and a couch on a third side.

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. 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: Rep observed and staff confirmed that some children use a sleeping bag for nap but some children use blankets on the floor for resting.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Noncompliance Area: Child #1 is 2 years 6 months of age. Child#1 has only 3 doses of DTAP, 2 doses of HIB, no MMR and 1 dose of Hep A vaccines. This is not in accordance with ACIP recommendations.

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: Facility person #1has a PSP clearance dated 12/11/18, an FBI clearance dated 12/13/18 and a child abuse clearance dated 2/14/14. The child abuse clearance is more that 60 months old and has expired.

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: The outdoor patio has a large amount of loose dirt and debris on it.

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: Rep observed a high chair that does not have a waist T-strap.

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

Noncompliance Area: Child #1 & child #2 do not have addresses for all release persons listed on the emergency contact information forms.

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 does not have a file at the facility. The operator reports that 12/27/18 is her first day of attendance.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: Facility person #1, date of hire 8/15/15, does not have 6 hours of annual training documented for the training year 8/2017- 8/2018.

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

Noncompliance Area: Facility person #2 has previous PSP and FBI clearances dated 11/7/13 and 11/4/13, respectively. Current PSP and FBI clearances are dated 12/11/18 and 12/13/18, respectively. Previous PSP and FBI clearances expired before they were renewed. Facility person #2 has a child abuse clearance dated 2/14/14 which is current. The file for facility person #2 does not indicate that they were suspended from providing 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.

Noncompliance Area: Observed a child sleeping in the front room and several children of school age and preschool age playing in that room also.

Correction Required: Preschool and school-age children may not be involved in small or large muscle activity in the same group space in which children are sleeping or resting.