The Salvation Army · Harrisburg

At the time of inspection, a policy to address the recognition of potential signs/symptoms of abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment was not available.

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 and CPR.

At the time of inspection, the date of admission was not available for child #3. This was CORRECTED ON SITE.

At the time of inspection, documentation of consent for emergency medical care signed by the parent was not available on the emergency contact form for child #3. Initials were used to indicate consent for emergency medical care on the emergency contact form for child # 4.

At the time of inspection, emergency contact forms were not present in the child care space for children receiving care in the space.

At the time of inspection, documentation of a 6-month update of the emergency contact information was not available for child #1 and child #4. At the time of inspection, documentation of a 6-month update of the financial agreement was not available for child #1 and child #4.

At the time of inspection, the emergency contact form for child #4 contained initials to indicate consent for the administration of medications or special dietary needs and for transportation, walking excursions, swimming and wading. At the time of inspection, the emergency contact form for child #2 contained initials to indicate consent for transportation, walking excursions, swimming and wading.

At the time of inspection, consent for minor first aid was not available on the emergency contact form for child #3.

At the time of inspection, documentation of 12 hours of annual training was not available for Staff #4.

Staff #2 was documented to have resided in Maryland within the past 5 years. Staff #2 did not have Maryland clearances on file. Staff #2 may not work in a child care position until clearances are obtained.

Staff person #1 had a health assessment dated 2/23/21 and updated on 1/8/24, which is greater than 24 months Staff person #3 had a health assessment dated 8/24/21 and updated on 1/5/24, which is greater than 24 months.

There was no record of an emergency drill completed within the past 12 months.

Emergency contact form for child number 4 did not include a complete parent home address, address listed is a PO Box number, which is not accepted. Work address on file is not complete, address on emergency contact form is missing city, and state

Emergency contact form for Child number 4 did not include a complete address for persons whom the child may be released. One release person address missing the city and state, the other release person address had a PO Box number, which is not accepted.

Staff person #1 was 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 CPR/First Aid

Agreement form for child number 3 was not signed by the parent. Agreement form for child number 4 was not signed by the parent. Agreement form for child number 5 was not signed by the parent.

Agreement form for child number 1 did not include persons to whom the child may be released. Agreement form for child number 2 did not include persons to whom the child may be released. Agreement form for child number 3 did not include persons to whom the child may be released. Agreement form for child number 4 did not include persons to whom the child may be released. Agreement form for child number 5 did not include persons to whom the child may be released.

Emergency Form for child number 1 did not include the physician's name or phone number. Emergency Form for child number 2 did not include the physician's name, address, or phone number. Emergency Form for child number 3 did not include the physician's name, address, or phone number Emergency Form for child number 4 did not include the physician's name, address, or phone number Emergency Form for child number 5 did not include the physician's name, address, or phone number

Emergency contact form for child number 4 did not include a complete parent home address, address listed is a PO Box number, which is not accepted. Work address on file is not complete, address on emergency contact form is missing city, and state

Emergency Contact form for child number 1 did not include the child's health insurance policy number. Emergency Contact form for child number 2 did not include the child's health insurance policy number. Emergency Contact form for child number 3 did not include the child's health insurance policy number. Emergency Contact form for child number 4 did not include the child's health insurance policy number. Emergency Contact form for child number 5 did not include the child's health insurance policy number.

Emergency contact form for Child number 4 did not include a complete address for persons whom the child may be released. One release person address missing the city and state, the other release person address had a PO Box number, which is not accepted.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric CPR/First Aid Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric CPR/First Aid