CYNTHIA FRANCKS CHILDCARE

Disposable diapers (3270.135(a)(3))

Staff # 1 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can. Requirement: 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. Correction: The soiled diaper was placed in the garbage can. Staff was trained again on the propere diapering procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for child #1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. 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: An address was obtained and added to the child's emergency contact. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

The infant room refrigerator thermometer was reading 54 degrees. Requirement: 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. Correction: The temperature in the refrigerator was changed to maintain a temperature below 45 degrees. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

The PS cots were not labeled for the use of a specific child and used only by the specified child. Requirement: 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. Correction: All PS cots were labeled with each child's name. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

There were a cracked plastic bin and a broken puppet with exposed foam in the SA room. There was a broken toy chain saw, two cracked plastic lids and a broken puppet with exposed foam in the PK room. There were two cracked orange cones, 3 flower shaped boards with sharp zip ties edges, broken plastic ladybug and a broken white handle on the playground play tree. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: The plastic bin and puppet were disposed of in the SA room. The broken chain saw, cracked lids, and puppet were disposed of from the pre-k counts room. The two orange cones were disposed of. Three flower shaped boards were removed. The Lady bug and white handle were removed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

There was peeling paint on the playground fence poles. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The poles on the playground fence will either be replaced or painted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

There were sharp exposed fence wires in the playground. 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: Liquid silicon will be applied to all exposed sharp fence wires. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first-aid kit in room # 12 lacked sterile gauze pads. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Gauze pads were placed in the first aid kit. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

There was a sanitizer bottles accessible to children in the OT room accessible to children, labeled "Keep out of reach of children". There was a Febreze bottle in the staff bathroom accessible to children labeled "Keep out of reach of children". There was a Lysol bottle in the pre-k room accessible to children labeled "Keep out of reach of children". There was a backpack in the YT room cubbies that contained a Butt Paste, an Aveeno Balm and a Kids Probiotic accessible to children labeled "Keep out of reach of children". Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: The sanitizer bottle in the OT room was locked up. The febreeze bottle was removed and a child proof ock was placed on the bathroom cupboard. The lysol bottle in the pre-k room was locked up. The Butt Paste, Aveeno Balm, and Kids probiotic were removed from the bag and locked up. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

There was an uncovered outlet in the pre-k room by the closet accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: An outlet cover was placed in the outlet in the pre-k room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

The OT and the YT room lacked an emergency transportation plan. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: An emergency transportation plan was hung in the OT and YT rooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

There was a cracked bin in the YT room. There were 2 cracked bins in the preschool room. There was a broken tricycle in the playground. The red stroller floor is damage. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: The cracked bins in the yt and preschool rooms were discarded. The broken tricycle and the red stroller were disposed of. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

The thermometer in the kitchen refrigerator is not operable. Requirement: 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. Correction: New thermometers were bought and placed in the refrigerators. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

There were 2 cots in the YT that did not have at least 2 feet of space required on three sides of a cot. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: The cots were mover to have 2 feet of space on all three sides. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

There was a Sanitizer, an equate Daily Moisturizer lotion and Fresh Cream Body lotion label " Keep out of reach of children" in the lower unlocked metal cabinet in the preschool room accessible to children. There was a GOOGONE label " Keep out of reach of children" in the lower unlocked metal cabinet in the OT room accessible to children. There was a Coppertone sunscreen and a Tylenol label " Keep out of reach of children" in the OT room cubbies accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Both cabinets were locked. The sunscreen and tylenol were removed from the childs cubbie. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

Ther was an unlabeled water bottle with yellow liquid in the stroller that was parked on the hallway. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Correction: The unlabeled bottle of cleaner was removed from the hallway. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first-Aid kit in the preschool room lacked soap and tape. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Tape and soap were added to the first -aid kit in the preschool room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

Staff # 3 did not wash the child's hands after diapering. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: A review of diapering procedures was gone over with the staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can. Requirement: 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. Correction: Diapering procedures were discussed with the staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information (3270.131(a))

The file for child # 1 contained a current health report dated 9/26/24 that was provided after 60. The child was in care longer than 60 days without initial health report. 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. Correction: There is a current health report in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).