Childrens Christian Group Home Day Care

The operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

The operator lacked documentation of review and update of the emergency plan annually as required.

Staff files #1, #2, and #3 contained documentation of training on the emergency plan dated 7/6/22 which exceeded the required training annually as required. Staff file #4 lacked documentation of emergency plan training in the file conducted annually.

The operator lacked an updated letter to the parents of the enrolled children explaining the updates made to the emergency plan.

Child file #1 contained a health report dated 10/11/22 but lacked an undated health every 12 months as required for an older toddler or preschool child. (See LIS CODE SHEET)

Staff file #1 contained health reports dated 3/30/21 and 7/12/23 which exceeded the requirements of health reports every 24 months. Staff file #2 contained health report dated 11/2/20 and lacked an updated health report conducted within 24 months. Staff file #4 contained health report dated 5/25/18 and lacked an updated health reports conducted every 24 months.

The facility lacked a copy of the safe drop off and pick up routes used by the facility and parents posted in the parent area.

The operator lacked updated sections in their emergency plan and their parent letter that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The operator lacked documentation of emergency plan drills conducted annually and kept on file at the facility.

The facility had documentation of testing the fire detection system conducted on the 7th of every month since June 2023 which exceeded the 30 days as required by section 1016(c) of the act (62 P.S. § 1016(c)).

The operator lacked documentation that the emergency plan was submitted to the local municipality and county emergency management agency.

Staff #2, #3 and #4 completed the Pennsylvania Health and Safety Update 2022, after the due date which was by December 30, 2022, the prescribed timeframe required by OCDEL to complete the training as per Announcement C-22-06.

The operator lacked a section addressing the prevention and identification of Child Maltreatment in their Shaken Baby syndrome, abusive head trauma and child maltreatment policy and procedure to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03.

Staff files #1, #2, #3 and #4 lacked documentation of fire safety training completed annually since 10/26/21.

Staff file #4 contained documentation of completion of mandated reporter training dated 9/30/15 and not completed mandated reporter training with in the last 60 months.

Staff files #2, #3 and #4 lacked copies of written evaluations conducted by the director and completed annually since 9/1/22.

The facility had posted a copy of the certificate of compliance that expired on 1/7/22, not a valid current copy of the certificate of compliance.

Emergency phone numbers were not posted, by the phone on the wall, in the downstairs preschool room.

On a rectangular table, in the downstairs preschool room, the edges, which had previously been covered by tape, were rough, which created a scraping hazard for children in care.

The Immunization Record, in the file for Child #1, did not contain documentation for the Influenza Vaccination according to the ACIP recommendations.

The two most recent Health Assessments in the file for Staff #1 exceeded the 24-month renewal requirement.

In the young toddler room, the knob on the cabinet door of the changing table was missing, which exposed the sharp end of a screw that was protruding out from the door and was accessible to children.

In the young toddler room, it was observed that the sink was at a height that the 1 year old children in the room were unable to reach with the stepstool that was in the room because the stepstool was not high enough for the children to reach the sink to wash their hands.

The file for child #2, with a start date of 2-1-21, had an immunization record dated 9-7-21 that was over 90 days after their start date. (The suspended regulation requires the parent to provide an immunization record no later than 90 days following the first day of attendance at the facility.)

The file for child #1, a 12 month old, had an immunization record that lacked documentation of the 2nd and 3rd doses of the DTAP and Pneumococcal vaccinations by age 6 months and the 2nd doses of the HIB and Polio vaccinations by age 4 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

In the young toddler room, the diapering can used for throwing away soiled diapers was on the other side of the gate between the young toddler and preschool rooms preventing the diapers from being thrown away immediately.

The file for staff person #1 lacked a current health assessment within the last 24 months.

The file for volunteer #2, with a start date of 2-1-21, lacked a tuberculosis screening by the Mantoux method at initial employment and requires a current tuberculosis screening by the Mantoux method.

The file for volunteer #2 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

The facility lacked proof of purchase of the interconnected fire detection system in accordance with 62 P.S. 1016(c)(3).

The file for child #2, with a start date of 2-1-21, had an initial health assessment dated 9-7-21 that was over 90 days after their start date. (The suspended regulation requires the parent to provide an initial health assessment no later than 90 days following the first day of attendance at the facility.)

The file for staff person #1 had current pediatric first-aid and CPR training with a completion date of 10-26-21 that was after the June 2021 expiration of the prior training.

Volunteer #2, with a start date of 2-1-21, lacked mandated reporter training within 90 days of their start date and requires current training.

The file for staff person #1 had a staff evaluation that exceeded 12 months between evaluations.

The file for staff person #1 lacked current health and safety training completed by 6-17-21 covering topics #1-9 as required in regulation 3270.31(f) for staff persons with a start date prior to 12-19-20.