KIDDS CARE NURSERY & PRESCHOOL

Mantoux TB (3270.151(c)(2))

At time of inspection. Staff person # 1 did not have a negative TB screening documented in their record. Requirement: 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. Correction: Staff person #1 shall have TB screening completed and the results shall be documented in her record as required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

At time of inspection, staff person # 1 did not have a current health assessment with TB reading documented in her record. Requirement: 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, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff person #1 shall have an initial health assessment complete with TB screening and documented in her record as required per regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

At time of inspection, when observing a diaper change in the infant room the staff person forgot to wash the hands of the child being diapered after they were changed as required. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: All staff in the facility including the infant room staff shall receive a review/training regarding proper steps for diapering with emphasis on hand washing procedures and sanitization. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

At time of inspection, the parents of children # 3 and #5 did not have the address of release person documented on their child's emergency contact forms. Requirement: 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. Correction: The parents of both children shall be asked to provide the addresses of the person/persons to whom they have designated to be able to pick up their child in the event of emergency. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded/Each child emergency contact person (3270.123(a)(3)/3270.124(a))

At time of inspection, child #1,2 and #4 did not have completed child service reports documented in their records as required. Requirement: 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). Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Correction: There shall be child service reports for child # 1.2 and 4 as required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed /Amount of fee (3270.123(a)/3270.123(a)(1))

At time of inspection, child # 5 did not have an agreement on file in facility. In addition, child #4 did not have a fee amount documented on their fee agreement. Requirement: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The parents of child # 5 shall have a complete fee agreement completed and documented in file. In addition, the agreement for child #4 shall have Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Group sup qualifications/Exp, educ., training prior to facility (3270.35(b)/3270.192(2)(ii))

At time of inspection, staff person #1 did not have proof of education and/or experience to qualify her for the position of Group Supervisor at facility documented in her record. Requirement: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff person #1 shall provide proof of education and/or experience documented in her record to help qualify her for her position as GS at facility as required per regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

On file at facility (3270.18(a))

At time of inspection, the operator did not have a current copy of general liability insurance available for review of the facility premises. Requirement: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Correction: The facility shall obtain a current copy of the general liability insurance, and it shall be present of the facility premises as required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection cert rep observed the emergency plan did not include continuity of operations on file. 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: Operator will include continuity of operations in the emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).