FRANS CHILDCARE AND LEARNING CENTER

Immunization record/Exemption documentation from parent/guardian (3280.131(d)(5)/3280.131(e)(1))

Child file #1 (PS) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP/DTP/TD and 1 Dose of Hepatitis A. (SEE LIS CODE SHEET) Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Correction: The parent of child #1 will be contacted and asked to call the dr to make sure the immunizations are up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

In the main room on the left wall where the floor and wall meet and next to the foldable furniture was a broken floor tile which poses a cutting hazard. In the children's restroom, four (4) ceiling tiles were observed to have water stains. On the wall between the kitchen and the owner/operator's office, the top layer of drywall was observed to be peeling in three (3) areas. Requirement: 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. Correction: The tile will be repaired. The landlord was called and message was left to replace the ceiling tiles. The peeling top layer of drywall was repaired during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

The file(s) for Staff Person(s) #1 contained the NSOR Certificate that was dated more than 60 months apart. (SEE LIS CODE SHEET) Requirement: 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. Correction: A new NSOR was in the staff file dated: 01.16.2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3280.124(b)(2))

The Emergency Contact Form(s) for Child(ren) #3 lacked the Address of the Physician or Medical Care Provider. (SEE LIS CODE SHEET) Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The parent was contacted to provide the dr.'s address for Child #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

The Emergency Contact form(s) for child(ren) file(s) #3 lacked the "Address of the Listed Release Person." (SEE LIS CODE SHEET) 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 parent of child #3 will be contacted to provide the "Address of the Listed Release Person." Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3280.124(b)(6))

The Emergency Contact Form(s) for Child(ren) #2 lacked the "Health Insurance/MA Coverage." (SEE LIS CODE SHEET). The Emergency Contact Form(s) for Child(ren) #3 lacked the "Health Insurance/MA Policy Number." (SEE LIS CODE SHEET) Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: The parent of child #2 will be contacted to provide the "Health Insurance/MA Coverage." The parent of child #3 will be contacted to provide the "Health Insurance/MA Policy Number." Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments (3280.131(b)(2)/3280.182(1))

The file(s) for Child(ren) #2, a preschool aged child, lacked an Updated Health Report within the last year. (SEE LIS CODE SHEET) Requirement: 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 child's record must contain initial and subsequent health reports. Correction: The parent of child #2 will be contacted and an updated physical will be received and placed in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health Information/Initial and subsequent health assessments (3280.131(a)/3280.182(1))

The Updated Child Health Assessment for Child #4 was dated more than 12 months apart. (SEE LIS CODE SHEET) Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports. Correction: The Updated child health assessment for child #4 was dated more than 12 months apart, this document has been updated and submitted for review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan/Exp, educ., training at facility (3280.26(c)/3280.192(2)(iii))

The file for staff person #2 lacked documentation of Emergency Plan Training for 2023. Requirement: 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff Person #2 has Emergency Plan Training for 2023 that was not placed in the file. Documentation has since been received to reflect that training has been completed. Owner/ Operator will ensure that the Emergency Plan training is reflected in the Staff person #2's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3280.31(e)(4)(i))

The two most recent Pediatric First Aid and Pediatric CPR Trainings for Staff #1 and #2 were dated more than 24-months apart. (SEE LIS CODE SHEET) Requirement: Competence is the completion of training by a professional in the field of first-aid and 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. Correction: The most two recent Pediatric Frist Aid and Pediatric CPR trainings were out of date. Staff 1 and Staff 2 has since taken a class and has completed the certification to maintain compliance. All documentation of certification has since been sent in for review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

Staff File #2 lacked a Disclosure Statement. (SEE LIS CODE SHEET) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 -- may not work in a childcare 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 #2 --- may not work in a childcare position at the facility. Correction: Staff Person 2 was not a worker at the day care at the time. Staff person 2 was only a number to call if there was an emergency. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3280.33(a)/3280.192(2)(ii))

The file for Staff #2 lacked documentation of education and previous childcare experience, making it unable to be determined if the individual qualified as a staff person. Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff Person 2 was not a worker at the day care at the time. Staff person 2 was only a number to call if there was an emergency. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3280.123(a)(3))

The Child Service Reports for child files #1 and #4 were not updated within six (6) months. Requirement: An agreement shall specify 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 at § 3280.124(f). Correction: The Child Service report for Child files 1 and 4 has been updated and has been placed in the child files for 1 and 4. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3280.124(b)(2))

The Emergency Contact Form for Child #5 lacked the Phone Number of the Physician or Medical Care Provider. (SEE LIS CODE SHEET) Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The emergency contact form for child #5 lacked the phone numbers of the physician and or medical provider that has since been updated. The owner operator has made sure that documentation has been updated since inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3280.124(b)(4)/3280.182(3))

The emergency contact form for Child #5 lacked written parental consent for emergency medical care. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: The emergency contact form for child #5 lacked the written parental consent for emergency medical care has since been updated. The owner operator has made sure that documentation has been updated since inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3280.124(b)(6))

The Emergency Contact Form for Child #2 lacked the Health Insurance/MA Coverage. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: The emergency contact form for child #2 lacked health insurance and MA coverage. Owner/ operator has ensured that the emergency contact form for child 2 health insurance and medical assistance coverage has been completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

The Emergency Contact forms for child files #2 lacked the address of the listed release person. 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 emergency contact form for child #2 lacked address of the release person. Owner Operator has ensured that the addresses if the listed release person has been completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3280.124(f)/3280.181(c))

The files for children #1, #3 and #4 contained Emergency Contact forms that were not updated within 6 months of the previous update. (SEE LIS CODE SHEET) Requirement: 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 information. 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. Correction: The emergency contact form for child #1, 3, and 4 were not updated within 6 months. Owner Operator has ensured that the update to all Emergency Contact forms has been completed. 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 (3280.151(a)/3280.192(3))

The file for Staff #2 lacked an updated Health Assessment. The last Health Assessment on file dated: 03/2022. 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: File for staff #2 lacked an updated health assessment. the last health assessment has since been submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3280.181(c))

The Financial Agreement and Emergency Contact Forms for children #1, #3 and #4 were dated more than six months apart. Requirement: 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. Correction: The financial agreement and emergency contact forms for children #1 #3 and #4 were dated more than six months apart. This documentation has been completed and sent in, all documents were updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3280.182(5))

The Emergency Contact Form for Child #5 lacked a signature for "Consent for Minor First Aid." Requirement: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Emergency contact form for child #5 lacked the signature for consent for minor first aid. This document has been updated by the parent and since has been placed in the child #5¿s file all documents have been submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3280.192(5))

Staff #2 was lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Requirement: 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. Correction: Staff Person #2 was lacking 2 written nonfamily references from individuals attesting to the person's suitability to serve as a facility person this documentation has since been sent in for review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3280.94(a)(1))

Fire drills were not conducted every 60 days with the last documented fire drill dated 09/02/2024. (07/03/2024 - 09/02/2024; 61 DAYS) Requirement: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Correction: Fire drills were not conducted every 60 days with the last documented fire drill dated for 9/2/2024 this documentation needed to be one day earlier. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3280.31(f))

Staff person #2 --- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety). Requirement: Staff person(s) shall complete professional development in the topics of 3280.31(f) (1-10) within 90 days of hire. Staff person #2 -- will have until 11/16/2024 to complete the required training. Until such time as the required training has been completed, staff person #2--- must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #2--, staff person #2-- may not work in a child-care position at the facility. Correction: Staff Person #2 has not completed the following required pre- service training within 90 days of their hire date. Staff #2 is currently working on the trainings that need completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).