Childrens Aid Society in Clearfield Cty

On the day of inspection, toilet bolts were exposed, large shelving was not secure to the wall and the furnace room and supply room were accessible to children.

Based on written and video documentation it was determined that staff #1 and #2 restrained a child due to his inappropriate/unsafe acting out behaviors.

In the infant room, it was observed a cracked bin holding infant toys.

In the infant room, it was observed that the infant refrigerator did not contain a thermometer.

It was observed that a medication name was not included on the med log in the infant room.

In the outdoor play area, it was observed that the lattice on the vent box was cracked and broken with exposed nails and a thorny bush was growing out of the box. The teeter-totters were observed to have rust.

In the outdoor play area, the two metal doors were observed to have peeling paint.

It was observed that the gas tank on the blue Little Tikes car in the outdoor toddler play space was broken.

Staff file #1 contained a volunteer Child Abuse clearance dated 6/15/21 in the file. (See LIS CODE SHEET) Facility person file #2 lacked a signed and dated disclosure statement in the file. (See LIS CODE SHEET) Staff file #4 lacked a dated disclosure statement in the file. (See LIS CODE SHEET)

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Facility person file #2 lacked documentation of completion of emergency plan training since employment at the facility. (See LIS CODE SHEET)

The diaper cream that states keep out of reach of children was accessible to you the children in care in the young toddler room # 108.

The first aid kit in the young toddler room #108 lacked tape in the kit. The first aid kit in the ollder toddler room #104 lacked sterile gauze pads and tape in the kit.

The bolts on the fencing in the outdoor play space were exposed and were not capped off. The non slip surfacing on the green wavy climbing equipment in the preschool outdoor play space was coming off exposing large areas of smooth surface creating a slipping hazard for the children. The wooden harp and xylophone and the platform on the tube and slide equipment in the preschool outdoor play space had wood that was deteriorated causing a hazard for splinters to the children.

In the infant room #103. there was a Bumbo seat that lacked the required strap that was recalled by the US Consumer Product Safety Commission.

The facility lacked copies of written formula and feeding schedules obtained from the parent for the infants in care.

All current staff files were reviewed on 4/19/23, 17 of the 17 files reviewed staff did not complete the Health and Safety training update by 12/30/22 as required by Announcement C-22-06. 16 of the 17 staff files have documentation of current Health and Safety training update, Staff file #3 did not contain documentation of completion of the Health and Safety training update.

The facility lacked a means to provide enrolled family's the link to access the regulations in this Chapter electronically.

The files for children #2, #4, and #5 lacked influenza immunizations that were administered in 2021.

The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file were dated 7/31/19 and 8/23/21.

It was observed that an emergency drill was not conducted within the past year.

It was observed that the facility lacked a proof of purchase for the smoke detection system.

The file for child #1 lacked emergency contact information that included the work phone number of the enrolling parent.

The files for children #2 and #3 lacked emergency contact information that included 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.