Childrens Garden Academy

Noncompliance Area: AT THE TIME OF THE INVESTIGATION IT WAS FOUND THAT AT THE TIME OF THE INCIDENT ON 11/20/18 THAT THE HEAT WAS NOT FUNCTIONING AT THE FACILITY.

Correction Required: The indoor temperature shall be at least 65 F.

Noncompliance Area: At the time of the inspection, there was no verification of prior child care experience in the file of staff #1.

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: At the time of the inspection, there was no verification of two written non-family references from individuals attesting to the person's suitability to serve as a facility person in the file of staff #1.

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: At the time of the inspection, there was no agreement on file for child #8.

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

Noncompliance Area: At the time of the inspection, there was no arrival and departure times on the agreement of child #4.

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

Noncompliance Area: At the time of the inspection, there was nothing specifying the persons designated by a parent to whom the child may be released on the agreement of child #2-7 and 9.

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

Noncompliance Area: At the time of the inspection, on the emergency contact form for child #4 there was no phone number of the child's physician or source of medical care and no work address and phone number of the enrolling parent.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: At the time of the inspection, there was no health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child #2, 3, 7 and 8.

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: At the time of the inspection, there was no address and phone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child #3,4 and 9.

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: At the time of the inspection, staff # 3, 7 and 8 did not have verification of a physical examination 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 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: At the time of the inspection, the health assessment on file for staff #1 did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #2 and 9.

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: At the time of the inspection, there was no verification of child care experience prior to service at the facility. for staff # 7 and 8.

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: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person for staff # 7 and 8.

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: At the time of the inspection, in the school age room, there was a light cover hanging from the fixture and it was not properly secured to it posing a falling 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.

Noncompliance Area: At the time of the inspection, there was chipped paint in the preschool room, in the bathroom of the older toddler room, and in the play area.

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

Noncompliance Area: At the time of the inspection, in the classroom where the 19 children were, staff #1 named the one child that was in her primary care group. Staff #2 named 6 children that were in her primary care group Staff #4 named the 10 children in her primary care group leaving 2 children unaccounted for.

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: At the time of the inspection, in the toddler room, the trash can used for diapering was not hands free.

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: At the time of the inspection, there was no health assessment or TB screening by the Mantoux method at initial employment for staff #2. For staff #1, the TB test did not have a verifiable date administered or a date read on the form.

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.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, there was no verification of child care experience prior to service at the facility for staff #1-3.

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: At the time of the inspection, there were no copies of requests for the criminal history record and child abuse registry clearance information for staff #2 and no disclosure statement on file for staff #2 and 3.

Correction Required: 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 #--- may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person in the file of staff #2 and 3.

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: At the time of the inspection, there was no emergency plan training on file for staff #1-3.

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: At the time of the inspection, there was 19 children ages 1-3 years old in one classroom with 3 teachers. Of the 19 children, child #1(DOB 12/10/16) would count as 1:5 ratio, therefore needing 4 staff.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: At the time of the inspection, there was water damaged ceiling tiles in the infant and school age classrooms. The sink in the preschool classroom, had excessive water damage and the paint was peeling from the cabinets.

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: At the time of the inspection, there was peeling paint all throughout the classrooms in the center.

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

Noncompliance Area: At the time of the inspection, there was a metal bracket on the shelf in the 4-5 year old room that was not mounted to a wall and therefore posed a safety hazard to the children.

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

Noncompliance Area: At the time of the inspection, the pac & plays and cribs in the infant room were not labeled.

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: At the time of the inspection, there was no thermometer in the refrigerator of the 1-2 year old 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: At the time of the inspection, there was no fee amount on the agreement for child #1,2, 6 and 10.

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

Noncompliance Area: At the time of the inspection, there was nothing specifying 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 on the agreement of child #1-11.

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: At the time of the inspection, there was nothing specifying the persons designated by a parent to whom the child may be released on the agreement of child #2, 6, 8 or 9.

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

Noncompliance Area: At the time of the inspection, there was nothing specifying the date of admission on the agreement of child #2,3,6,8 and 9.

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

Noncompliance Area: At the time of the inspection, there was no address of the physician on the emergency contact form for child #2,3 and 10.

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: At the time of the inspection, there was no work address or telephone number of the enrolling parent on the emergency contact form for child # 10 and 11.

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

Noncompliance Area: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact forms for child # 1-4, 7, 9 and 10.

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: At the time of the inspection, there was no 6 month updated health report for child #1. Last report on file was 9/18/16 and child's DOB was 1/19/16.

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: At the time of the inspection, there was no updated health report in the previous 12 months for child #6 (DOB 2/19/14 last health report dated 4/25/16), child #7 (DOB 12/11/13 last health report dated 4/18/16) and child #9 (DOB 5/7/12 last health report dated 1/5/16).

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.A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, there was no health assessment on file for staff #2 (date of hire 2/7/17). There was no updated health assessment on file for staff # 1 (last exam 3/17/15), staff # 8 (last exam 2/9/15) and staff #9 (last exam 3/17/15)

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.An adult health assessment must include a physical examination.

Noncompliance Area: At the time of the inspection, there was no update to the emergency contact information and the financial agreement at least once in a 6-month period for child #5,6,8,9 and 11.

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: At the time of the inspection, there was no verification of previous child care experience on file for staff # 2,3,4,5,6,7,9,10

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: At the time of the inspection, there was no 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 in the file of staff #2 (date of hire 2/7/17). There was no disclosure statement on file for staff #3 and 4. Staff #6 did not have verification of mandated reporter training (date of hire 2/23/17). Staff #5 did not have a request for FBI clearance and PA State Police Background check was based on volunteer status and not employment and there was no request for new clearance (date of hire 5/4/17). Staff #7 did not have a rap sheet attached to FBI clearance (date of hire 5/1/17),

Correction Required: 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: At the time of the inspection, there was no verification of 2 written references from individuals attesting to the person`s suitability to serve as a facility person on file for staff #5 (date of hire 5-15-17).

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: At the time of the inspection, there was no verification of 6 hours of child care training for staff #1,3, 8, 9, 10, and 11.

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

Noncompliance Area: At the time of the inspection, staff #6 was working alone in the 1-2 year old room and is a provisional hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: At the time of the inspection, staff #5 (hire date of 5-15-17 and aide status) was working alone in the 1-2 year old room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: At the time of the inspection, there was a cordless phone in the 2-3 year old room that did not have emergency phone numbers posted next to or on the phone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: At the time of the inspection, there was water damaged ceiling tiles located in the infant room.

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: At the time of the inspection, there was chip paint in the 4-5 year old room and in the play area.

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

Noncompliance Area: At the time of the inspection, there were no evacuation routes posted anywhere in the facility.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: MOTHER WAS NOT INFORMED ABOUT THE TRANSPORTATION DRIVER CHANGING. SON WAS NOT TAKEN HOME UNTIL 9:00PM WHEN HE LEFT SCHOOL AT 5:30-6:00PM.

Correction Required: The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Noncompliance Area: At the time of the inspection, it was observed that there was a highchair with areas of mold and mildew on the cover and T-straps.

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

Noncompliance Area: At the time of the inspection, the trash cans being used where diaper changes occur did not have the lids attached and therefore did not allow them to be hands free.

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: At the time of the unannounced inspection, there was an outlet cover missing from the receptacle in the yellow room. (fixed on site)

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

Noncompliance Area: At the time of the inspection, there was hand sanitizer on the desks in the yellow and green rooms which was in reach of children.

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: At the time of the inspection, there was peeling paint in the yellow room.

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