Bahirahs Lil Tots Day Care

3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

During the renewal inspection certification rep observed family member child abuse clearance in file expired; date of child abuse clearance in record: 6/9/2018.

Corrected by Jan 11, 2024

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3290.64(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

During the renewal inspection certification rep observed peroxide left out in the upstairs bathroom.

Corrected by Jan 11, 2024

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3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the renewal inspection certification rep observed the first aid kit did not contain tweezers.

Corrected by Jan 11, 2024

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3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection certification rep reviewed child # and #2 record and observed the persons designated by a parent to whom the child may be released missing on the agreement form.

Corrected by Jan 11, 2024

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3290.24(g) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection certification rep observed the operator did not have on file a sent copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected by Jan 29, 2024

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3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of renewal inspection emergency drill log was not observed.

Corrected by Feb 21, 2023

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3290.24(g) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

At the time of renewal inspection observed that the operator did not send a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected by Feb 21, 2023

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3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

At the time of renewal inspection documentation of smoke detector testing of every 30 days was not observed.

Corrected by Feb 21, 2023

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

At the time of renewal inspection, a policy and procedure of the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency training and emergency drill, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected by Feb 21, 2023

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3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

At the time of renewal inspection an agreement of child #1 and #2 did not specify the persons designated by a parent to whom the child may be released.

Corrected by Feb 21, 2023

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3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

At the time of renewal inspection an agreement of child #1 and #2 did not specify the date of the child's admission.

Corrected by Feb 21, 2023

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3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

At the time of renewal inspection emergency contact of child #1, #2, and #3 did not include the work addresses and telephone numbers of the enrolling parent.

Corrected by Feb 21, 2023

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3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

At the time of renewal inspection emergency contact of child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Corrected by Feb 21, 2023

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3290.131(d)(5)/3290.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

At the time of renewal inspection, immunization record of child #1 did not include influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #1.

Corrected by Feb 21, 2023

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3290.192(2) · 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.

At the time of renewal inspection, file of staff person #1 did not include subsequeuent health assessment. Last health assessment on file was dated 1/21/21.

Corrected by Feb 21, 2023

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

File of staff person #1 contained DHS required FBI clearance from 1/6/17 that was more than 60 months old and is not acceptable. Facility Person # 1 must be removed from child care position by close of business

Corrected by Feb 3, 2022

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3290.32(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

At the time of renewal inspection file of staff person #1 did include verification of competence in pediatric first aid. Heart Saver card on file verified that staff person #1 received training in Heart saver Total Child CPR AED, Infant CPR Exam on 12/29/21.

Corrected by Feb 3, 2022

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3290.94(a)(1) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

At the time of renewal inspection observed that the last fire drill log was conducted on 11/15/21, more than 60 days ago.

Corrected by Feb 3, 2022

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3290.24(a)(1)/3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

At the time of renewal inspection, emergency plan did not include information about lock-down procedure, accommodations for infants, toddlers, and children with chronic medical condition.

Corrected by Feb 3, 2022

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