WARWICK CHILD CARE

Staff assigned to specific children/Restraints prohibited (3270.113(a)(1)/3270.113(e))

During the complaint investigation, certification representative did a facility walk through, and staff #1 and staff #2 left a child unattended and strapped down on the changing table while she did something else and children were left secured in high chairs while staff cleaned up after lunch and there were children awake in their cribs at the time of the renewal inspection. Requirement: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. 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. Correction: Provider will have staff #3 and staff #4 trained in supervision topics pertaining to proper supervision and restraints. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

During the complaint investigation, certification representative conducted a facility walk through and spoke with staff about an incident that lead to a child getting scratched and staff #1 was unaware that the child she was responsible for got scratched by another child and staff #2 was unaware that the child she was responsible for was involved in an incident because the view was obstructed by an object and she wasn't positioned in a way that allowed the child to be properly supervised. Requirement: 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. Correction: Provider will have staff #1 and staff #2 take a minimum of 2hrs of training regarding the supervision of children and how to be positioned to ensure proper supervision. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

During the allocated unannounced inspection, certification representative reviewed all of the staff files and the file for staff #1 did not contain the required health and safety professional development training. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Provider will have staff #1 take the required health and safety training and have Staff #1 supervised at all times until the training is completed. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(e)(4)(i)/3270.31(f)(10))

During the complaint investigation, certification representative reviewed all the staff files and the file for staff #2 did not contain a PQAS certified pediatric cpr/first aid certification from an approved provider /approved course. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Provider will have staff #2 trained in a PQAS certified pediatric cpr and first aid course given by a PQAS certified instructor. Staff #2 will be supervised at all times until the training is complete. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).