Lil Darlings Iii Childcare Center

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During a renewal inspection conducted on 7/6/2022, 16 child files were reviewed. Child # 1 file contained a fee agreement that did not specify the fee amount to be charged per day or per week.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During a renewal inspection conducted on 7/6/2022, 16 child files were reviewed. Child # 1 file contained a fee agreement form that did not specify the arrival time for the child.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During a renewal inspection conducted on 7/6/2022, 16 child files were reviewed. Child # 1 file contained a fee agreement form that did contain the date of the child's admission to the facility.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection conducted on 7/6/2022, 16 child files were reviewed. Child #3 file contained an emergency contact form that did not list the complete address of the enrolling parent's home address.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on 7/6/2022, 6 child files were reviewed. Child #4 file contained an emergency contact form that did not list the complete address of the person designated by the parent to the child can 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection conducted on 7/6/2022, 16 child files were reviewed. Child # 2 and 3 files contained emergency contact forms and fee agreement forms that were not reviewed every 6 months. The last review of these documents was 12/22/2021.

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.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During a renewal inspection conducted on 7/6/2022, 16 child files were reviewed. Child # 1 file contained an emergency contact form that did not address the section on parental consent for transportation and administration of 1st Aid.

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

Noncompliance Area: During a renewal inspection conducted on 10/21/2020, 7 child files were reviewed. Child # 2,3,4,5, and 7 files contained fee agreements that did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: During the renewal inspection conducted on 10/21/2020, 7 child files were reviewed. Child # 6 file contained an emergency contact form that did not list the work telephone 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: During a renewal inspection conducted on 10/21/2020, 7 child files were reviewed. Child # 4 file contained a health report that did 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: During a renewal inspection conducted on 10/21/2020, 4 staff files were reviewed. Staff Member #2 file did not include tuberculosis screening by the Mantoux method 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.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: During a renewal inspection conducted on 10/21/2020, 3 staff files were reviewed. Staff member # 3 file did not contain verification of of child care experience, education and training prior to service at the facility.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: During a renewal inspection conducted on 10/21/2020, 4 staff files were reviewed. Staff member # 1 file did not contain a National Sex Offenders Registry clearance. Facility Person #1 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). LACKING REQUIRED HIRING DOCUMENTS: 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. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: During a renewal inspection conducted on 10/21/2020, Certification Representative measured the hot water in the your toddler class room bathrooms at 120 degrees F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: During the renewal inspection emergency contact information in the files for child #1, 2, 3, 4, and 5 were reviewed and did not include the work address and phone number of the enrolling parent..

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

Noncompliance Area: During the renewal inspection the file for child #5 was reviewed and it did not contain information on the child's disability or special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: During the renewal inspection the emergency contact information on file for child #2 did no include the address and phone number of the persons to whom the child could 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: During the renewal inspection the file for child #2 was reviewed and the health assessment did not include proof of up to date immunizations based on ACIP recommendations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: During the inspection the files for staff persons #1, 2, and 3 were reviewed and they did not contain staff evaluations.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: During the renewal inspection first aid kits in both the vehicle and classroom #3 did not contain tape

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: ON NOVEMBER 14, 2018 DURING THE COMPLAINT INVESTIGATION, THE PA CRIMINAL CLEARANCE RAPSHEET REVIEWED FOR STAFF PERSON # 4 HIRE DATE 11/1/2018 STATED THE STAFF PERSON IS ON PAROLE FROM 10/15/2015- 09/14/2019.

Correction Required: A staff person who has been convicted of a felony/felonies may not work in the facility.

Noncompliance Area: ON NOVEMBER 14, 2018 DURING THE COMPLAINT INVESTIGATION, THE RECORD REVIEWED FOR STAFF PERSON # 2 HIRE DATE 5/16/17 DID NOT INCLUDE A FBI FINGER PRINT CLEARANCE. THE RECORD REVIEWED FOR STAFF PERSON # 3, HIRE DATE 9/21/2016 DID NOT INCLUDE AN ACCEPTABLE PA CRIMINAL CLEARANCE. THE PA CRIMINAL CLEARANCE IN THE RECORD READ "REQUEST UNDER REVIEW". THE FBI FINGERPRINT CLEARANCE REVIEWED FOR STAFF PERSON # 4,HIRE DATE 11/1/2018, WAS INCOMPLETE. THE FBI FINGERPRINT CLEARANCE REVIEWED STATED RECORD EXISTS FOR STAFF PERSON # 4 BUT THE RAP SHEET WAS NOT ATTACHED.

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, and # 3 and # 4 may not work in a child care position at the facility.

Noncompliance Area: ON NOVEMBER 14, 2018 DURING THE COMPLAINT INVESTIGATION, THE RECORD REVIEWED FOR STAFF PERSON # 1 DID NOT INCLUDE VERIFICATION OF EDUCATION TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. THE EDUCATION DOCUMENTS REVIEWED IN THE FILE WERE MEDICAL ASSISTANCE TRANSCRIPTS.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: ON 11/05/18 DURING THE RENEWAL INSPECTION, STAFF PERSON # 2 HEALTH ASSESSMENT WAS INVALID. THE HEALTH ASSESSMENT WAS OVER THE 24 MONTHS FOLLOWING THE DATE OF THE SIGNATURE.

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.A facility person's record shall include a written report of initial and subsequent health assessments.

Noncompliance Area: ON 11/05/18 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE ON FILE THAT STAFF PERSON # 1, 2, 3, 4, 5, AND 6 RECEIVED ANNUAL EMERGENCY 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: ON 11/05/18 DURING THE RENEWAL INSPECTION, ACCORDING TO THE THERMOMETER USED, THE TEMPERATURE MEASURED 125 F IN THE AREAS ACCESSIBLE TO CHILDREN.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.