Oconnors Family Daycare IV

The file of facility person #3, employed for more than 45 days (see coded LIS sheet) contained volunteer child abuse and PA state police clearances and the file of facility person #6, employed for more than 45 days (see coded LIS sheet) did not contain a completed FBI clearance.

At approximately 10:30-11:00am, 6 children were present in the back classroom. Facility person #6 identified all 6 children in their supervisory group and stated the youngest child was one year of age and the oldest was 5 years which exceeds the 1:5 staff to child ratio for mixed age levels. In the front classroom, 6 children were present. Facility person #5 identified one child stating they were 7 years old. Facility person #1 identified 5 children from 10 months to 3 years of age which exceeded the 1:4 staff to child ratio for mixed age levels.

The file of child #3, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 12/27/2022 but did not contain an updated health assessment within 6 months from the prior. The file of child #4 (see coded LIS sheet), contained health assessments dated 3/1/2022 and an updated health assessment dated 5/4/2023, exceeding 6 months between assessments.

The health assessments of child #1, identified as a preschool age child, were dated more than 12 months apart (dated 1/25/2022 and 5/16/2023). The health assessments of child #2, identified as a preschool age child, were also dated more than 12 months apart (4/7/2021 and 5/4/2023). The file of child #5 contained a health assessment dated 7/27/2021 but did not contain documentation of an updated or current health assessment.

The file of child #2 contained an immunization record which did not contain documentation of an influenza vaccination in 2022 but did contain one in 2023. The immunization record of child #3 did not contain the recommended doses of the DTaP vaccination as recommended by the ACIP for the child's age or an acceptable exemption. The file of child #5 did not contain documentation of a current influenza vaccination or acceptable exemption.

The files of facility persons #1, #5 and #8, all who completed the health and safety pre-service training modules prior to 10/4/2022, completed the required "Pennsylvania Health and Safety Update 2022" after 12/30/2022. The file of facility person #4 and 7, who completed the health and safety topics prior to 10/4/2022, did not contain documentation of the "Pennsylvania Health and Safety Update 2022."

The file of facility person #5 contained documentation of fire safety training dated 3/15/2022 and does not contain documentation of current fire safety training.

The documentation of completion of the health and safety topics listed in subsections (f)1-9 was dated more than 90 days from their start date at the facility for #2 (7/6/2023) and #6 (6/29/2023) (see coded LIS sheet).

The files of child #2, #3 and #5 contained original financial agreements.

The file of child #3 contained an emergency contact form dated 12/18/2022 and a financial agreement dated 12/22/2022 but did not contain documentation of being updated within at least 6 months.

The file of facility person #2 and 4 contained documentation of pediatric first aid and pediatric CPR dated 6/29/2023 which was more than 90 days from their start date (see coded LIS sheet).

The file of facility person #1 contained a disclosure statement from 11/2015 and did not contain a witness signature or date, facility person #3 did not contain a completed disclosure statement and facility person #5 contained a signed disclosure statement from 11/2015, an NSOR verification certificate which was dated 3/2/2022, more than 45 days from their start date (see coded LIS sheet) and an incomplete FBI clearance.

The file of facility person #1 did not contain documentation of initial emergency plan training within 90 days of their start date (see coded LIS sheet) and facility person #4 and 7 did not contain documentation of current emergency plan training within the last year.

Purell cleaning wipes, labeled keep out of the reach of children, were on a table in the front room by the kitchen, accessible to the children.

The immunization record of child #1 did not contain a current influenza vaccination and child #2 was missing documentation of 2 DTAP, 1 pneumococcal, 1 polio, 1 current influenza, 1 MMR, 1 varicella, 1 hep A or documentation of an acceptable exemption for both child #1 and 2.

The file of facility person #4 contained the 2 most current health assessments exceeding 24 months (dated 6/29/2019 and 11/29/2021). The file of facility person #5 contained an initial health assessment dated 1/11/2022, which was after their start date with children (see coded LIS sheet).

Documentation of initial tuberculosis screening of facility person #5 was dated 1/11/2022, which was after their start date with children (see coded LIS sheet).

The health assessment of facility person #4 did not include an examination for communicable diseased and the results of that examination.

Documentation of testing the fire detection system exceeded 30 days from 12/12/2021 and 1/15/2022.

Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved pediatric first aid and pediatric CPR by a PQAS instructor and the required health and safety topics

The file of facility person #5 contained documentation of the professional development topics listed in subsections (f) 1-9 dated 2/27/2022 and facility person #8 had documentation dated 7/23/2022, which was more than 90 days from their start date (see coded LIS sheet).

The facility did not have documentation of a written evaluation by the director at least annually for facility person #4, 6 and 7.

A written plan of daily activities was not posted in the back classroom.

The file of facility person #2, identified as an assistant group supervisor, did not contain documentation of education to qualify them for the position.

The file of facility person #4 and 6 did not contain documentation of 12 annual training hours between 12/19/2020 and 12/19/2021. Based on a conversation with staff and previous file review, the files of facility person #8 and 9 did not contain documentation of 12 annual training hours between 12/19/2020 and 12/19/2021.

The files for staff persons #1 and #2 had health assessments that were falsified and were therefore not valid. The office manager from the medical office on the health assessments confirmed that the health assessments were not completed by them as they were presented at the inspection.