4 BEARS DAY CARE INC

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection conducted 6/8/26, the emergency contact reviewed for child #2 did not include the work telephone numbers of the enrolling parent.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During the renewal inspection conducted 6/8/26, the health assessment reviewed for child #1 and #2 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: During the renewal inspection conducted 6/8/26, upon request there was no written statement about giving formula or feeding schedule available for review for child #1 obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection conducted 6/8/26, upon request there was no verification available for review to verify the facility notified 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 childcare facility.

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 child care facility.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of inspection on 3/23/2026, Certification Representatives observed facility child #1 who is an infant was served chicken bites and raw broccoli for lunch. There was not a written feeding statement for the child provided by the parent when requested.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of inspection on 3/23/2026, Certification Representative observed there was 1 staff with 5 children including an infant in the back child care space.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of inspection, facility staff #1 had a National Sex Offenders Registry clearance that was over 60 months old. Facility staff #2 did not have a completed State Police Clearance on file.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The records of facility staff #1 and #2 did not include verification that staff took an approved Pediatric First Aid and Pediatric CPR training. The trainings in the record were an online only training that did not include an in-person portion as required.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: At the time of inspection on 6/10/2024, Certification Representative observed various wires hanging along the wall in the outdoor play space.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection conducted on 5/11/2023 observed child #1 and #2's health reports did not include up to date verification of the influenza vaccine.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection conducted on 5/11/2023 observed staff person #2's file did not include verification of the Health & Safety training update.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection conducted on 5/11/2023 observed staff person #2's adult health assessment was not filled out including the verification of physical examination.

Correction Required: An adult health assessment must include a physical examination. 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection conducted on 5/11/2023 observed staff person #1's file did not include verification of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection conducted on 5/11/2023 observed staff person #2's education verification is from Dominican Republic and verification of the evaluation of the degree is not in the file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.151(c)(1)/3270.151(c)(4)

Description: Physical examination/Information re: medical problems

Noncompliance Area: During the renewal inspection conducted on 4/13/2022 observed staff person #1's health assessment did not include a physical examination and question number three which states whether the staff person can work in child care was not answered.

Correction Required: An adult health assessment must include a physical 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: During the allocated unannounced monitoring inspection conducted on 11/14/2019 observed the air conditioning vent located on the floor in room B to be in disrepair.

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: During the renewal inspection conducted on 6/7/2019 observed the vehicle used for transportation did not include a first-aid kit.

Correction Required: A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: During the renewal inspection conducted on 6/7/2019 observed the hot water temperature in the bathroom and classroom sinks measured at 118 F.

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

Noncompliance Area: Observed two children in high chairs that were not strapped in.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Observed staff person #1 did not have an initial health assessment on file.

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: ON JULY 10, 2018 DURING THE RENEWAL INSPECTION, THERE WAS A PLAYPEN IN THE MIDDLE PRESCHOOL SECTION OF THE FACILITY THAT WAS NOT LABELED FOR USE OF A SPECIFIC CHILD.

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: ON JULY 10, 2018 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 DID NOT INCLUDE TWO WRITTEN REFERENCES. THE RECORD INCLUDED ONE REFERENCE.

Correction Required: 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

Noncompliance Area: ON APRIL 16, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WERE 11 CHILDREN IN THE GROUP WITH STAFF PERSON # 1 AND # 2. THE YOUNGEST CHILD WAS A YOUNG TODDLER AGE CHILD. - CONTINUED NON-COMPLIANCE

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: ON FEBRUARY 12, 2018 DURING THE COMPLAINT INVESTIGATION, STAFF PERSON # 1 WAS ALONE IN THE FRONT CHILD CARE SPACE WITH 9 CHILDREN. THE YOUNGEST CHILD WAS A TWO YEAR OLD.

Correction Required: THE LEGAL ENTITY MUST ARRANGE FOR ALL FACILITY STAFF TO RECEIVE A MINIMUM OF TWO HOURS OF TRAINING REGARDING SUPERVISION OF CHILDREN WITH AN EMPHASIS ON STAFF:CHILD RATIOS THROUGH THE REGIONAL KEY. SE REGIONAL OFFICE OF OCDEL WILL MAKE THE REFERRAL TO THE REGIONAL KEY.

Noncompliance Area: ON JANUARY 25, 2018 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 AND # 2 DID NOT CONTAIN TWO WRITTEN REFERENCES. BOTH STAFF RECORDS CONTAINED ONE WRITTEN REFERENCE.- CONTINUED NON-COMPLIANCE.

Correction Required: 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

Noncompliance Area: ON JANUARY 25, 2018 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 HIRE DATE 10/17/2017, DID NOT INCLUDE AN ACCEPTABLE PA CRIMINAL HISTORY CLEARANCE. THE PA CRIMINAL HISTORY CLEARANCE IN THE RECORD WAS FOR A VOLUNTEER. - CONTINUED NON-COMPLIANCE.

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: ON DECEMBER 18, 2107 DURING THE RENEWAL INSPECTION, THERE WERE PLUSH TOYS IN A CLOTH BIN IN CLASSROOM C THAT WERE DIRTY. THE BOOKS IN CLASSROOM B AND C WERE RIPPED UP.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, STAFF PERSON # 1 DID NOT KNOW THE WHEREABOUTS OF CHILD # 3 WHO WAS ASSIGNED TO HER GROUP. STAFF PERSON # 1 LEFT CLASSROOM A TAKING 5 CHILDREN TO CLASSROOM C. STAFF PERSON # 1 RETURNED TO CLASSRROM A WITH 4 CHILDREN. CHILD # 3 WAS IN CLASSROOM B ALONE. INDIVIDUAL # 1 AND # 2 MADE STAFF PERSON # 1 AWARE OF CHILD # 3'S WHEREABOUTS.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 5 DID NOT INCLUDE THE HEALTH INSURANCE COVERAGE AND POLICY NUMBER INFORMATION.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 5, # 6 AND # 7 DID NOT INCLUDE THE ADDRESSES OF THE DESIGNATED RELEASE PERSONS.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THERE WAS DIAPER CREAM IN A CLEAR PLASTIC BIN UNDER THE DIAPER CHANGING TABLE THAT WAS NOT LABELED WITH A CHILD'S NAME.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE DIAPERING CAN NEAR THE DIAPER CHANGING STATION WAS NOT HANDS-FREE.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THERE WAS MOLDED MIXED SLICED FRUIT, CELERY AND CARROTS UNDER THE COUNTER IN THE KITCHEN AT THE FACIILITY.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Noncompliance Area: ON DECEMBER 18, 2107 DURING THE RENEWAL INSPECTION, THERE WAS A CHILD'S LUNCH BAG ON THE SHELF IN CLASSROOM B THAT CONTAINED POTENTIALLY HAZARDOUS FOOD THAT REQUIRED REFRIGERATION- A TURKEY AND CHEESE SANDWICH AND A YOUGURT THAT STAFF PERSON # 1 ACKNOWLEDGED WAS BROUGHT FROM THE CHILD'S HOME. THERE WAS A YELLOW CUP CONTAINING MILK SITTING IN A CHILD'S CUBBY IN CLASSROOM B THAT STAFF PERSON # 1 ACKNOWLEDGED WAS BROUGHT FROM THE CHILD'S HOME

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE MEAL SERVED FOR LUNCH DID NOT INCLUDE A GRAIN.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Noncompliance Area: ON DECEMBER 18,2017 DURING THE RENEWAL INSPECTION, THERE WAS A YELLOW SIPPY CUP IN A CUBBY IN CLASSROM B THAT WAS NOT LABELED WITHA CHILD'S NAME. THERE WAS A RED CANDY CANE CUP ON THE SHELF IN CLASSROON B THAT WAS NOT LABELED WITH THE CHILD'S NAME.

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

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 7 WAS NOT UPDATED WITIHIN A 6-MONTH PERIOD. THE EMERGENCY CONTACT WAS DATED 11/1/15.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 AND # 3 DID NOT INCLUDE TWO WRITTEN REFERENCES.

Correction Required: 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

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, INSTRUCTIONS FOR CONTACTING THE REGIONAL DAYCARE OFFICE WERE NOT POSTED AT THE FACILITY.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF EMERGENCY PLAN TRAINING WITHIN A 12-MONTH PERIOD FOR STAFF PERSON # 3.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 RECEIVED THE ANNUAL 6 HOURS OF CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 3 HIRE DATE 7/10/2017, DID NOT INCLUDE THE MANDATED REPORTER TRAINING.

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: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. (ASSISTANT GROUP SUPERVISOR)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 3 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE OR EDUCATION TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. (AIDE)

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THERE WERE 11 CHILDREN IN CLASSROOM A WITH STAFF PERSON # 1 AND # 2. THE YOUNGEST CHILD WAS A YOUNG TODDLER.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THE FIRST-AID KIT DID NOT CONTAIN SCISSORS.

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 DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THERE WAS A LARGE METAL PIPE, A MOP AND BUCKET AND BROOM IN THE OUTDOOR PLAY SPACE WHICH A POSED POTENTIAL HAZARD TO THE CHILDREN. THE FLOORS IN THE CHILDREN'S BATHROOM WERE DIRTY. THE RADIATOR DOOR IN CLASSROOM B WAS BROKEN.

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 DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ON THE CUBBIES IN CLASSROOM B. THERE WAS CHIPPING PAINT IN THE OUTSIDE PLAY SPACE ON A DRAIN PIPE BEHIND THE DOOR.

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

Noncompliance Area: ON DECEMBER 18, 2017 DURING THE RENEWAL INSPECTION, STAFF PERSON # 2 DID NOT WASH CHILD # 4'S HANDS AFTER DIAPERING.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: ON 8/30/2017 DURING THE UNANNOUNCED VISIT,THE RECORD REVIEWED FOR STAFF PERSON # 1 CONTAINED A HEALTH ASSESSMENT DATED (3/20/2017) THAT APPEARED FRAUDULENT. ON 9/1/2017, DOCUMENTATION WAS RECEIVED FROM THE MEDICAL OFFICE WHICH COMPLETED THE FORM, CONFIRMING THAT STAFF PERSON # 1 WAS LAST SEEN AT THEIR OFFICE ON 3/2/2016 AND THE HEALTH ASSESSMENT REVIEWED WAS NOT FILLED OUT BY ANY OF THEIR STAFF.

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: ON AUGUST 30, 2017 DURING THE UNANNOUNCED VISIT, STAFF PERSON # 1 ACKNOWLEDGED THAT CHILD # 1 ARRIVED TO THE FACILITY ON 8/18/2017 WITHOUT DIAPERS OR WIPES, AND WAS ALLOWED TO SIT WITH A SOILED DIAPER FOR 20 MINUTES.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: ON JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, THERE WAS NOT A SUFFICIENT AMOUNT AND VARIETY OF TOYS AVAILABLE IN THE SCHOOL AGE SECTION OF THE FACILITY. THE TOYS MADE AVAILABLE TO THE SCHOOL AGE CHILDREN WERE TODDLER TOYS AND NOT AGE APPROPRIATE.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at 3270.101(c)(1) - (6).

Noncompliance Area: ON JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, 7 CHILDREN OF MIXED AGES FROM YOUNG TODDLER TO SCHOOL AGE WERE ALONE IN THE FRONT CHILD CARE SECTION OF THE FACILITY. STAFF PERSON # 1 AND #2 ACKNOWLEDGEDTHE CHILDREN WERE ALONE AND WERE WAITING FOR ANOTHER TEACHER TO COME IN THAT WAS RUNNING LATE.

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: ON JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE OF AN INITIAL HEALTH ASSESSMENT FOR STAFF PERSON # 1.

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: ON JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 DID NOT INCLUDE TWO NON-FAMILY REFERENCES.

Correction Required: 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

Noncompliance Area: ON JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, THE EMERGENCY PLAN WAS NOT POSTED IN THE FACILITY.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: ON JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, THE RECORD REVIEW FOR STAFF PERSON # 1 HIRE DATE 5/20/2017 DID NOT INCLUDE A COMPLETE FBI CLEARANCE. THE RAP SHEET IN THE RECORD DID NOT INCLUDE ALL PAGES.

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: ON JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, THERE WAS CRACKED TILE IN THE FRONT SECTION OF THE FACILITY NEAR THE GREEN TABLE.

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 JULY 24, 2017 DURING THE ALLOCATED UNANNOUNCED INSPECTION, THERE WAS CHIPPING PAINT IN THE CHILDREN'S BATHROOM NEAR THE SINK, ON THE YELLOW WALL IN THE OLDER TODDLER SECTION OF THE FACILITY AND ON THE GREEN WALL IN THE FRONT SECTION OF THE FACILITY.

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