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. A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The health assessment for Child #1 was dated 11/10/23, more than 60 days after enrollment (see code sheet for enrollment date). There was a vaccine record but no health assessment on file for child #2 who has been enrolled for greater than 60 days (see code sheet for enrollment date). There was no health assessment on file for child #4 who has been enrolled for greater than 60 days (see code sheet for enrollment date). The health assessment for Child #5 was dated 8/2/21, more than 60 days after enrollment (see code sheet for enrollment date).

3270.131(a)/3270.131(d)(5) · Corrected Jan 21, 2024

A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The health information for child #3 was not a health report written and signed by a physician, physician's assistant or a CRNP and did not include the signature.

3270.131(c) · Corrected Jan 21, 2024

A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

There was only 1 reference on file for staff #2.

3270.192(5) · Corrected Jan 19, 2024

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

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

DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 5 CHILDREN'S FILES AND THE FILE FOR CHILD #1 DID NOT CONTAIN A HEALTH INSURANCE/MA POLICY NUMBER..

3270.124(b)(6) · Corrected Jan 25, 2022

A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

DURING THE INITIAL INSPECTION WHILE REVIEWING THE STAFF FILES, CERTIFICATION REPRESENTATIVE SAW THAT THERE WAS NO UPDATED PHYSICAL FORM FOR FOR STAFF #2. THE FORM ON FILE IS DATED 8/9/19.

3270.192(3) · Corrected Jan 25, 2022

A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

DURING THE INITIAL INSPECTION WHILE REVIEWING THE STAFF FILES, CERTIFICATION REPRESENTATIVE SAW THAT THE NAME ON THE DRIVERS LICENSE AND THE NAME ON THE DEGREE AND TRANSCRIPTS FOR STAFF #1 WERE DIFIFERENT AND THERE IS NO VERIFICATION OF CHILD CARE EXPERIENCE ON FILE FOR STAFF #1.

3270.192(2)(ii)/3270.192(2)(iii) · Corrected Jan 26, 2022