1ST CH OF GOD LRG AND PLAY CTR

Noncompliance Area: Small chalk pieces, less than one inch in diameter, and a plastic bag were observed to be on the outdoor play space, where an infant and young toddlers were receiving care. 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: The most recent health assessment on file for facility person #2, hired 6/1/2018, was dated 6/8/2018. An updated health assessment was not on file. The file of facility person #5, hired 6/29/2020, contained a health assessment, including tuberculosis screening results, dated 8/22/18, which therefore was not conducted within 12 months prior to hire.

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.

Noncompliance Area: The health assessment on file for facility person #4 indicated that the facility person had communicable diseases, and no additional information was provided.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: The file of facility person #1 contained a state police clearance dated 8/17/2020. The previous state police clearance was dated 5/26/15. Therefore, the requirement to have the clearances updated every 60 months, as per the CPSL, was not met. The file of facility person #3 contained a state police clearance dated 8/5/2020. The previous state police clearance was dated 6/12/15. Therefore, the requirement to have the clearances updated every 60 months, as per the CPSL, was not met. The file of facility person #6 contained a state police clearance dated 8/5/2020. The previous state police clearance was dated 5/26/15. Therefore, the requirement to have the clearances updated every 60 months, as per the CPSL, was not met. The file of facility person #5, hired 6/29/2020, did not contain a completed NSOR verification certificate, a signed disclosure statement, or a completed Department of Human Services FBI clearance. The file contained a completed Department of Education FBI clearance, which does not meet the requirements of the CPSL. The LE does not have an approved waiver to hire provisionally.

Correction Required: 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 #5 must be removed from a child care position by the close of business. Effective 12/31/19 provisional hires may not work in a child care position when a waiver approval is not on file.

Noncompliance Area: Hand sanitizer was observed to be accessible to children in the Tigers classroom. Corrected on site.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The water at the sink in the Panda classroom was observed to be 123 degrees Fahrenheit and the water at the sink in the Starfish classroom was observed to be 119 degrees Fahrenheit.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: The first aid kit in the infant room was observed not to contain tweezers. The first aid kit in the starfish classroom was observed not to contain tweezers or tape.

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

Noncompliance Area: The ceiling outside of the PreK/School-Age classroom was observed to be in disrepair. The closet outside of the same classroom was observed to be accessible to children. The closet contains a ladder with access to the roof of the building.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: On 5/24/19, the file of child #4 (17 months old at the time of inspection), did not contain documentation of MMR or Varicella vaccines. Continued non-compliance: on 7/2/19, the file of child #4 still did not contain documentation of MMR or Varicella vaccines.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: On 5/14/19, diaper cream was observed to be stored in an area accessible to children in the restroom next to the toddler classroom. Continued non-compliance: On 7/2/19, diaper cream was again observed to be stored in an area accessible to children in the restroom next to the toddler classroom. Baby powder was also observed to be accessible to children in the same location. Both were corrected on site.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: A bike on the outside play area was observed to have a cracked pedal.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Refrigerators in the kitchen, Pre-K Pandas room, Toddling Turtles, and Penguins rooms did not contain thermometers.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: The current agreement for child #3 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The emergency contact form for child #1 did not include addresses for two of the release persons listed.

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 written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the Toddling Turtles or Penguins classrooms. The plan was posted in the Penguins classroom at the time of inspection.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Child #4, enrolled 10/15/18, was an infant at the time of enrollment. The initial health assessment was dated 2/13/18, which is more than 3 months prior to the first day of attendance. A second health assessment was dated 12/21/18, which is more than 60 days following the first day of attendance at the facility.

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. The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Noncompliance Area: The health assessment on file for child #2 did not include a statement that the child is able to participate in child care and appears to be free from communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The file of child #4 (17 months old at the time of inspection), did not contain documentation of MMR or Varicella vaccines.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Albuterol was observed to be accessible in the Pre-K Pandas room, which was corrected on site.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Child #6's EpiPen was observed to be stored at the facility, and there was not written consent for the administration of the medication.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The file of facility person #1, hired 1/29/19, did not contain a health assessment at the time of inspection, which was corrected by the second day of inspection. The file of facility person #3, hired 1/14/19, did not contain a health assessment at the time of inspection, which was corrected by the second day of inspection. Results of tuberculosis screening on file for facility person #3 were dated 1/16/19, and were therefore not on file at the time of hire. The file of facility person #6, hired 1/14/19, contained a health assessment dated 5/9/19 and tuberculosis screening results dated 5/11/19, therefore they were not on file at the time of hire. The file of facility person #8, hired 6/1/18, did not contain an X-ray within 12 months prior to hire. The X-ray on file was from 2008.

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.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.

Noncompliance Area: Expired formula was observed to be stored in the infant room.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: Bottles provided by the facility and used by infants were being hand-washed at the facility.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: Written notification of safe routes was not posted in a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Multiple emergency contact forms in the Pre-K Pandas, Toddling Turtles, and Penguins rooms were dated more than 6 months prior to the date of inspection. The emergency contact forms and agreement forms for children #4 and #5 were dated more than 6 months prior to the inspection.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: The file of facility person #1, hired 1/29/19, did not contain any documentation of education or experience, which was corrected by the second day of inspection.

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

Noncompliance Area: There was not documentation on file that facility person #6, hired 1/14/19, had been trained in the emergency plan. Facility person #7 had not been trained in the emergency plan since 10/10/17.

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 and kept on file at the facility.

Noncompliance Area: The file of facility person #1, hired 1/29/19, did not contain completed FBI clearance information required under the CPSL and did not contain a copy of the request for the FBI clearance required for provisional hiring for the CPSL at the time of hire. The request date for the FBI clearance was 2/2/19. Complete FBI clearance information was on file by the second day of inspection. The file of facility person #2, hired 1/2/19, did not contain a copy of the requests for criminal history clearance or FBI clearance at the time of hire. The request date for the FBI clearance was 1/4/19 and the request date for criminal history clearance was 1/3/19. The file of facility person #6, hired 1/14/19, did not contain a copy of the request for the FBI clearance at the time of hire. The request date for the FBI clearance was 1/15/19.

Correction Required: 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.

Noncompliance Area: Staff evaluations had not been completed for facility persons #4, 5, and 7 since 4/30/18.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Diaper cream was observed to be stored in an area accessible to children in the restroom next to the toddler classroom.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: A spray bottle in an upstairs bathroom was observed not to be labeled with the contents.

Correction Required: 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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Used tissues were observed to be on the floor in the Pre-K Pandas classroom, which was corrected on site.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: A screen in an open window in the Pre-K Pandas classroom was observed to have a small tear.

Correction Required: Screens shall be in good repair.

Noncompliance Area: The telephone numbers of the nearest hospital and ambulance were not posted by the telephone in the Pre-K Pandas classroom. The telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center were not posted by the telephone in the Penguins classroom.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: A first-aid kit in the Pre-K Pandas classroom was observed to be accessible to children, which was corrected on site.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: In the Pre-K Pandas classroom, a piece of metal was observed to be sticking out of a hole in the wall and a pencil sharpener without the protective cover was observed on the wall in the Pre-K Pandas classroom. Both were corrected by the second day of inspection.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Peeling paint was observed above the pencil sharpener in the pre-K Pandas classroom, which was corrected by the second day of inspection. Peeling paint was observed on the wall next to the sink in the kitchen.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Per documentation on the facility fire drill log, fire drills were held 88 days apart between 2/1/19 and 4/30/19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Evacuation routes were not posted in the downstairs room next to the kitchen.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: Older toddlers were observed to be playing with small beans, less than one inch in diameter, in a sensory bin and matchbox cars, with removable parts less than one inch in diameter, which was 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: On 11/6/18, peeling paint was observed in the downstairs classroom on the far right wall from the entrance to the classroom. Continued non-compliance: on 12/28/18, peeling paint was still observed in the downstairs classroom on the far right wall from the entrance to the classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: A torn stuffed toy with exposed foam was observed in the infant room, which was corrected on site.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: A small piece of crayon, less than one inch in diameter, was observed to be accessible to toddlers in the Tottling Turtles classroom, which was 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: A pre-school age child was observed to walk behind shelves, out of sight of any staff members, and remained behind the shelves for about a minute before staff were able to see the child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: It was observed that staff persons in the Tottling Turtles classroom had not been assigned the responsibility for supervision of specific children.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Ventolin was observed to be accessible to children in the preschool room, which was corrected on site.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: The medication log for child #1's Ventolin did not include a requirement for refrigeration.

Correction Required: A medication log shall include a requirement for refrigeration of medication.

Noncompliance Area: Electrical outlets, accessible to children, were observed not to have protective receptacle covers in the kitchen, on a power cord on a portable sink in the upstairs classroom, under the window in the preschool classroom, and on an extension cord in the preschool classroom. The uncovered electrical outlets in the preschool room were corrected on site.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Shaving cream and a bleach solution were observed to be accessible to children in the preschool room at the time of inspection. Diaper cream was observed to be accessible to children in the infant room, which was corrected on site.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The first aid kit in the preschool room was observed to be accessible to children, which was corrected on site.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: Knives were observed to be accessible to children in the kitchen at the time of inspection.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Peeling paint was observed in the downstairs classroom on the doorway between the kitchen and the classroom, and on the far right wall from the entrance to the classroom. Peeling paint and plaster was also observed in the far right corner and on the right wall of the Tottling Turtles classroom, from the entrance from the preschool classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The water temperature at the men's bathroom sink was observed to be 112 degrees Fahrenheit, which was corrected on site.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: There was a weekly menu posted at the time of inspection, however it was posted for the current week of child care, and a menu was not posted 1 week in advance.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: The emergency contact forms for children #1 and #2 in the child care space were observed not to have been updated within the past 6 months at the time of inspection. The last date of update for both children's forms was October 2017.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: The disclosure statement for staff person #1 was signed and on file at the time of inspection, however it was not dated with the date of signature.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The first aid kit in the downstairs child care space was observed to be in a backpack that was accessible to children, and hand sanitizer was also observed to be located in the same backpack, also accessible to children. A second first aid kit was also observed to be accessible to children in the downstairs child care space.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. A first-aid kit must be inaccessible to children.

Noncompliance Area: The water temperature at the sinks in the bathrooms next to the downstairs child care space were measured at 118 degrees Fahrenheit.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: The first aid kit that remains in the downstairs child care area was observed not to have tape or gloves at the time of inspection.

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

Noncompliance Area: Peeling paint was observed on the wall to the left of the entrance in the downstairs child care space, and peeling paint was also observed on the wall to the left of the entrance to the men's bathroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The evacuation routes were not posted in the downstairs child care space at the time of inspection.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: A torn, stuffed doll with exposed foam was observed to be in the toddler classroom.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Foam stickers, counting cubes, and shape tiles all less than one inch in diameter were observed to be accessible to children in the toddler room. A plastic bag was observed to be accessible to children of toddler age in the room used for napping. All were 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: There was not 2 feet on 3 sides of a crib in which an infant was sleeping at the time of inspection, which was corrected on site.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The agreement for child #2 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The agreement for child #4 did not specify the persons to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The emergency contact forms for children #1 and #5 did not include the work addresses of the enrolling parents, and the emergency contact form for child #2 did not include the work telephone number of the enrolling parent.

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

Noncompliance Area: The emergency contact form for child #1 did not include the child's health insurance 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 forms for children #1, 4, and 5 did not include addresses for the release persons listed.

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 emergency plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was observed not to be posted in the upstairs classroom.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The last health assessment on file for child #2, a young toddler, was more than 11 months old at the time of inspection. The last health assessment on file for child #4, a preschool child, was more than 14 months old at the time of inspection.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The health assessments for children #1 and #3 were not signed by a physician, physician's assistant, or CRNP.

Correction Required: 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.

Noncompliance Area: The TB test results for staff person #5 were dated one month after the staff person's start date, and therefore were not on file at the time of hire. The health assessment and TB test results for staff person #6 were dated more than a week after the staff person's start date.

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 health assessment on file for staff person #5 did not include the physician or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: At the time of inspection, a menu had not been created for that week of child care.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: Bottles for the use of infants were observed not to be labeled at the time of inspection.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The local traffic safety authorities had not been notified in writing of the location of the facility and the program's use of pedestrian and vehicular routes since March 2017, per director report.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: The financial agreements for children #1, 3, 4, and 5 were updated and current at the time of inspection, however they were dated at least 8 months from the previous updates. The emergency contact forms for children #4 and 5 were current and updated at the time of inspection, but there was not a date on the previous update for child #4, so it is unable to be verified if the update was completed within 6 months, and the form for child #5 was dated 9 months from the previous update. The emergency contact forms in the infant room had not been updated within the past 6 months at the time of inspection.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: At the time of inspection, there was not documentation that the emergency plan had been reviewed or updated since April 2016.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: There was not documentation on file that staff person #4 had emergency plan training at the time of hire.

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 and kept on file at the facility.

Noncompliance Area: There was not a disclosure statement or FBI clearance on file for staff person #4, and staff person #4 was employed 9 months at the time of inspection. There was mandated reporter training on file for staff person #4 at the time of inspection, however it was completed almost 8 months after the staff person's start date. Staff person #5 had been employed more than 90 days at the time of inspection, and did not have a child abuse clearance on file. Staff person #5 had an FBI clearance on file at the time of inspection, but it was dated after the staff person's start date and there was not provisional hire paperwork on file. Staff person #6, still within the provisional hire period, had a current state police clearance at the time of inspection, however the state police clearance was requested two months after the staff person's start date, and the provisional hire paperwork for the child abuse clearance was dated after the staff person's start date.

Correction Required: 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #4 and #5 may not work in a child care position at the facility.

Noncompliance Area: Staff persons #1 and 3, being utilized as assistant group supervisors, and staff person #4, being utilized as a group supervisor, did not have any documentation of education or experience on file at the time of inspection.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person #2, an aide, was observed to be left alone with children in a hallway, unsupervised by any other staff person.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: Two electrical outlets, accessible to children age 5 and under, were observed not to have protective receptacle covers in the area used for nap time, which was corrected on site.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Spray bottles were observed not to be labeled in the toddler room, and the provider confirmed that at least one of the spray bottles contained bleach, which was corrected on site.

Correction Required: 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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Water accessible to children in the 3 year old classroom was observed to reach a temperature of 114 degrees Fahrenheit.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: There was not a first aid kit in the room used for nap time.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: The first aid kit in the toddler classroom was observed to be accessible to children, which was corrected on site.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: The first aid kit in the 3 year old classroom was observed not to have adhesive bandages, which was corrected on site.

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

Noncompliance Area: On the outdoor play area, the wires of the fence were observed to be pointing toward the play area, creating a hazard. A broken radiator was observed in the toddler classroom, creating a hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Peeling paint was observed on the window seal and on the wall on the corner next to the window in the toddler room. Peeling paint and plaster was also observed in the upstairs classroom under the window.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Fire drills were not being held at least every 60 days, according to the documentation on the fire drill log.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: The evacuations routes were not posted in the 3 year old classroom at the time of inspection.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: Medications were observed in several rooms with no corresponding instructions. Toddler room - Zarbees children cough and mucus (Child #1), Unlabeled inhaler with no name, and no instructions for either.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: PreK Counts room was observed to have an unlabeled inhaler of unknown origin in the 1st Aid kit. Toddler room was observed to have an unlabeled bottle of Zarbees cough syrup in a cabinet.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The PreK Counts room was observed to have an unlabeled inhaler in the First Aid Kit with no original label present.

Correction Required: Medication shall be stored in accordance with the manufacturer`s or health professional`s instructions on the original label.

Noncompliance Area: An unlabeled inhaler was observed in the facility with no accompanying instructions or permission from the parent in any form.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: An unlabeled inhaler was observed in the facility with no accompanying instructions or permission from the parent in the form of a medication log. A medication log for Child #2 was not fully filled out of signed by the parent.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: First aid kits were observed to be lacking the following: Toddler room - tweezers, downstairs Preschool room - scissors, tweezers, upstairs PreK Counts room - soap

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