Ninas Daycare - Lancaster PA Group Child Care Home

Noncompliance Area: Plastic bags were observed in children's cubbies, accessible to children who are still placing objects in their mouths. CORRECTED ON SITE

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: It was observed that the rest equipment was not labeled for use of a specific child. CORRECTED ON SITE

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: It was observed that a written plan of daily activities was not posted.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: The agreement for child #2 was not signed by parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The emergency contact information for child #1 did not include the address for child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The emergency contact information for child #1, #2 and #4 did not include the enrolling parent's work address and phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The emergency contact information for child #1 and #2 did not include health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The emergency contact information for child #2 was missing the address for one release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file for child #2 (enrollment date 8/2/19) did not include an initial health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for staff person #1 did not contain an updated health assessment, previous one dated 10/25/17. The file for staff person #2 did not contain an initial health assessment and TB test.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The financial agreement for child #3 was not reviewed/updated every 6 months. The only agreement on file is from initial enrollment, dated 9/7/17.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file for child #5 did not contain signed parental consent for administration of minor first aid procedures.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for staff person #1, #2 and #3 did not contain documentation of initial or annual emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: It was observed that the first aid training for staff person #1 expired 12/8/18, for staff person #2 expired 3/10/18 and the first aid training for staff person #3 did not include an in-person portion of the training. No one on the premises had current or completed first aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable. One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: The file for staff person #1 did not include a disclosure statement. CORRECTED ON SITE

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).