Fairview Elem Care Program

The Director or designated staff person who is responsible for compliance with this chapter did not ensure fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 12/11/23 and 1/26/24.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff #1 had documentation of completing the online portion only on 1/18/24.

Based on interviews and documentation, Child #1 ran away from the child care program at approximately 4:19 PM on 3/25/24 while Staff #1, #2, and #3 were providing care to Child #1 and 11 other school-age children. Based on interviews, Staff #1 yelled for Child #1 to stop and return to the program, but Child #1 kept running. Based on observation, Child #1 ran approximately .3 miles before Staff #3 lost sight of Child #1 and then Child #1 traveled about another .4 miles before arriving home. Based on interviews and documentation, Child #1 arrived home at approximately 4:31 PM.

Based on interviews and documentation, Child #1 ran away from the child care program at approximately 4:19 PM on 3/25/24 while Staff #1, #2, and #3 were providing care to Child #1 and 11 other school-age children. Based on interviews, Staff #1 yelled for Child #1 to stop and return to the program, but Child #1 kept running. Based on observation, Child #1 ran approximately .3 miles before Staff #3 lost sight of Child #1 and then Child #1 traveled about another .4 miles before arriving home. Based on interviews and documentation, Child #1 arrived home at approximately 4:31 PM.

Based on interviews and documentation, Child #1 ran away from the child care program at approximately 4:19 PM on 3/25/24 while Staff #1, #2, and #3 were providing care to Child #1 and 11 other school-age children. Based on interviews, Staff #1 yelled for Child #1 to stop and return to the program, but Child #1 kept running. Based on observation, Child #1 ran approximately .3 miles before Staff #3 lost sight of Child #1 and then Child #1 traveled about another .4 miles before arriving home. Based on interviews and documentation, Child #1 arrived home at approximately 4:31 PM.

Based on interviews and documentation, Child #1 ran away from the child care program at approximately 4:19 PM on 3/25/24 while Staff #1, #2, and #3 were providing care to Child #1 and 11 other school-age children. Based on interviews, Staff #1 yelled for Child #1 to stop and return to the program, but Child #1 kept running. Based on observation, Child #1 ran approximately .3 miles before Staff #3 lost sight of Child #1 and then Child #1 traveled about another .4 miles before arriving home. Based on interviews and documentation, Child #1 arrived home at approximately 4:31 PM.

2nd citation. Previously cited on 1/8/24. The file of Staff #1, who was designated as an aide, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

2nd citation. Previously cited on 1/8/24. Staff #1, who was designated as an aide, is employed at a facility where less than 46 children are enrolled.

The file of Staff #1 lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of the NSOR requested on 12/8/23 and a NSOR dated 12/12/23.

On 1/8/24 observed broken connector pieces with rough edges. On 1/8/24 observed a cracked stencil.

The file of Child #3 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 did not contain a health assessment.

The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 lacked documentation of a tuberculosis screening by Mantoux method being completed.

The facility created an emergency drill log, but it did not address the time to complete the drill, special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

The file of Child #1 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #1 had an admission date of 8/23/23 with no health report in the file.

The file of Staff #1, who was designated as an aide, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

The file of Child #2 contained the original copy of the agreement. The facility did not make a copy for the file and give the original to the parent.

The file of Child #2 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form.

The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was signed on 6/1/23 with no documentation of reviews and updates.

The file of Child #2 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form.

It was observed that an agreement was not on file at the date of admission for Child #2. Child #2's date of admission was 8/23/23 with an agreement dated 9/14/23.

On 1/8/24 Certification Representative observed that the child records were not stored in a locked cabinet.

The file of Staff #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #1, who was designated as an aide, is employed at a facility where less than 46 children are enrolled.

2nd citation. Previously cited on 1/18/23. The file of Child #1 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #1, with an admission date of 8/24/22, did not contain a health report.

The file of Staff #1 lacked a State Police Clearance updated every 60 months. Staff #1 had a State Police Clearance dated 8/28/20 with a previous one dated 8/15/15.

At approximately 7:30 AM on 1/12/23 Staff #1 and #4 were caring for a group of mixed age children which included 14 young school age children and 3 older school age children. Staff #1 and #4 indicated they were sharing responsibility of the children. When asked to name the children, Staff #1 was able to name all of them, but Staff #4 was only able to name 6 of them.

The file of Staff #2 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The emergency plan did not address continuity of operations.

The files of Staff #1 and #2 lacked documentation of receiving training regarding the emergency plan on an annual basis. Thes files of Staff #1 and #2 contained documentation of emergency plan training completed on 10/6/21 but no documentation for 2022.

On 1/12/23 observed a cracked bin containing card games including UNO. On 1/12/23 observed cracked Connector pieces. On 1/12/23 observed a cracked lid on a bin containing wooden blocks.

The files of Staff #1 and #2 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 9/15/21 with a previous one dated 9/4/19. The file of Staff #2 contained a current health assessment dated 1/27/22 with a previous one dated 8/28/19.

The file of Staff #2 contained a health assessment which lacked documentation of a physical examination.

The file of Staff #3 lacked an adult health assessment which included a tuberculosis screening by Mantoux method at the time of initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux read date of 11/9/22.

The file of Staff #2 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

The file of Staff #2 contained an adult health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

An emergency drill was not conducted annually. The facility had documentation of an emergency drill being conducted on 11/17/21.

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 12/20/21, 2/2/22, 3/29/22, 5/20/22, and 10/19/22. The facility was closed from 5/31/22 through 8/23/22 due to summer break.

The facility did not have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The emergency plan did not contain evacuation routes and evacuation plans or written directions to exit the building.

The files of Children #3 and #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #3, with an admission date of 8/24/22, did not contain a health report. The file of Child #5, with an admission date of 8/24/22, did not contain a health report.

The operator lacked documentation of notifying the local traffic authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation of local traffic authorities being notified on 10/14/22.

The file of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained documentation of fire safety training completed on 1/13/22 and 8/15/22 but no documentation for 2021.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. The health and safety training on file for Staff #1 was not valid because it was completed prior to 9/30/16.

Staff #1 lacked documentation of mandated reporter training completed every 60 months. Staff #1 had documentation of mandated reporter training completed on 12/15/20 with previous training completed on 5/4/15.

The files of Staff #1 and #2 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff 1 contained a written evaluation dated 3/1/21. The file of Staff #2 contained a written evaluation dated 9/2/21.

The files of Children #1, #2, #3, and #4 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

The file of Child #3 lacked the telephone number of the child's physician or source of medical care on the emergency contact form. The file of Child #5 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

The file of Child #3 lacked the work telephone number of the enrolling parent on the emergency contact form.

The files of Children #3 and #5 lacked the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.

The file of Child #1 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #4 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space.

The emergency contacts and agreements for Children #1, #2, #4, and #5 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact and agreement were signed on 6/8/22 with no reviews. Child #2's emergency contact and agreement were signed on 6/21/22 with no reviews. Child #4's emergency contact and agreement were signed on 5/23/22 with no reviews. Child #5's emergency contact and agreement were signed on 5/31/22 with no reviews.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents. The certificate of compliance posted was dated 4/20/21 to 4/20/22.

Staff #1 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. The most current certification observed on file was dated 3/14/19 with expiration date of 3/14/21.

The emergency contact information for child #1 lacked health insurance coverage and policy number.