Summitview Elem Care Program

The files for children #1. #2, #3, #4 and #5 were observed to contain agreements that did not specify the date of the child's admission.

2nd citation. Previously cited on 1/8/24. The file of Child #1 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #1, who had an admission date of 9/11/23, did not have a health report on file.

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. Staff person #2 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.

2nd citation. Previously cited on 1/8/24. The file of Staff #2, who was designated as assistant group supervisor, 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. Emergency contact information for Child #1 did not include the work address and work telephone number of the enrolling parent.

2nd citation. Previously cited on 1/8/24. Emergency contact information for Child #1 lacked health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

2nd citation. Previously cited on 1/8/24. 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 persons #1, #2, #3, and #4 were observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and health and safety training. Staff persons #2, #3, and #4 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, mandated reporter training, and health and safety training.

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 10/17/23 and a NSOR dated 10/26/23. The file of Staff #1 lacked documentation of application for the State Child Abuse and Neglect Registry from the State(s) in which Staff #1 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #1 did not contain a Child Abuse and Registry Check from the State(s) in which Staff #1 resided. The file of Staff #2, a provisional hire, lacked a PA Child Abuse Clearance and 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 #2 contained documentation of the NSOR requested on 11/9/23 and a NSOR dated 11/14/23. The file of Staff #2 contained a Child Abuse Clearance dated 12/7/23. The file of Staff #3, a provisional hire, lacked a PA Child Abuse Clearance and documentation of application for a DHS FBI Clearance and National Sex Offender…

At approximately 7:30 AM on 1/8/24 Staff #1, #2, and #3 were caring for a group of mixed age children which included 9 young school age children and 7 older school age children. Staff #1, #2, and #3 indicated they were sharing responsibility of the children. When asked to name the children, Staff #1 and #2 were able to name all of them, but Staff #3 was only able to name 8 of them.

The files of Staff #2, #3 and #4 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 #2 contained a health assessment dated 12/13/23. The files of Staff #3 and #4 did not contain a health assessment.

The files of Staff #1, #2, #3, and #4 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a Mantoux test read date of 8/25/23. Staff #2 had a Mantoux test read date of 12/13/23.

The operator did not conspicuously post the menu at least 1 week in advance.

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 files of Children #3 and #4 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #3, who had an admission date of 10/23/23, did not have a health report on file. Child #4, who had an admission date of 9/11/23, did not have a health report on file.

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 and health and safety training.

The files of Staff #1 and #4, who were designated as assistant group supervisors, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing. The file of Staff #3, 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 files of Children #1, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

Emergency contact information for Child #3 did not include the address of the child's physician or source of medical care.

Emergency contact information for Child #3 did not include the work address of the enrolling parent. Emergency contact information for Child #4 did not include the work address and work telephone number of the enrolling parent.

The file of Child #4 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form.

Emergency contact information for Children #3 and #4 lacked health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for Child #1 did not include the complete address of the individual designated by the parent to whom the child may be released. Emergency contact for Child #3 did not include the address of the individual designated by the parent to whom the child may be released.

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 contact for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's emergency contact was signed on 5/13/23 with no documentation of reviews and updates.

The file of Child #4 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 agreements were not on file at the date of admission for Children #1 and #5. Child #1's date of admission was 8/23/23 with agreements dated 8/28/23 and 9/18/23. Child #5's date of admission was 8/23/23 with an agreement dated 9/23/23.

Certification Representative observed that the child records were not stored in a locked cabinet.

The files of Staff #1, #2, #3, and #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #3, who was designated as an aide, is employed at a facility where less than 46 children are enrolled.

At approximately 7:30 AM Staff #1 left Staff #2 and #3 to care for children in the gymnasium while Staff #1 greeted Certification Representative and parents at the door located at the end of the hallway. Staff #2 and #3 were caring for a group of mixed age children which included 10 young school age children and 7 older school age children. Staff #2 and #3 indicated they were sharing responsibility of the children. When asked to name the children, Staff #2 was able to name all of them, but Staff #3 was only able to name 7 of them. When Staff #1 returned to the gymnasium, Staff #1 was able to name all of the children.

The files of Staff #1, #2, and #4 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The files of Staff #1 and #2 contained no documentation of completing the health and safety update. The file of Staff #4 contained documentation of completing the health and safety update on 1/14/23. The emergency plan did not address continuity of operations.

The file of Staff #1 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of completing emergency plan training on 12/6/21 but no documentation for 2022.

Observed a cracked roof on a doll house creating rough edges.

Observed embedded equipment in the Outdoor Play Space with approximately 1 to 3 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as protective surface coverings.

Observed foam blocks with bite marks.

The file of Child #2 contained a health report which lacked an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

The file of Staff #5 lacked an adult health assessment which included a tuberculosis screening by Mantoux method at the time of initial employment (SEE LIS Code Sheet). Staff #5 had a Mantoux read date of 11/9/22.

The file of Staff #2 contained an adult health assessment which indicated Staff #2 had a communicable disease, but the physician, physician's assistant, or CRNP did not describe the conditions and the risk it might pose to others exposed to this individual.

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 12/16/21, 2/2/22, 3/31/22, 5/20/22, and 10/19/22.

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 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 participating in fire safety training on 8/26/21 but had no documentation for 2022.

The files of Staff #1 and #2 lacked documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 1/31/22. The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 1/22/22.

The file of Staff #4 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #4 contained a written evaluation dated 12/1/22.

The file of Child #4 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

The file of Child #1 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

The file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form.

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

The file of Child #3 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, and #4 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact and agreement were signed on 5/11/22 with no reviews. Child #2's emergency contact and agreement were signed on 5/2/22 with no reviews. Child #4's emergency contact and agreement were signed on 5/16/22 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. The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The files of Staff #2 and #4 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

The file for staff #3 lacked an examination for communicable diseases and information on medical problems that might threaten the health of the children on the health assessment.

Staff #1 and #2 lacked professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. No current training was observed on file.