A Mothers Touch Daycare 3

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/26/19, CHILD 4 EMERGENCY CONTACT FORM DID NOT STATE THE RELEASE PERSON'S NAME, ADDRESS AND PHONE NUMBER ON THE FORM.

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: DURING THE RENEWAL INSPECTION ON 2/26/19, CHILD 1 FILE DID NOT CONTAIN A PHYSICAL.

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: DURING THE RENEWAL INSPECTION ON 2/26/19, CHILD 7 HEALTH ASSESMENT DID NOT STATE THE CHILD WAS FREE FROM COMMUNICABLE DISEASES.

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: DURING THE RENEWAL INSPECTION ON 2/26/19, STAFF 2 FILE CONTAIN A HEALTH ASSESMENT MORE THAN AND TB WAS THAT CONDUCTED MORE THAN 12 MONTHS OF INITIAL HIRING. STAFF 7 PHYSICAL WAS DATED MORE THAN 12 MONTHS FROM INITIAL HIRE. STAFF 7 PHYSICAL WAS DATED 4/4/17. STAFF 8 FILE DID NOT HAVE A SIGNED DISCLOSURE STATEMENT. STAFF 13 AND 15 FILE DID NOT CONTAIN VERIFICATION OF PHYSICAL AND TB VERFICATION IN THEIR 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.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: DURING THE RENEWAL INSPECTION ON 2/26/19, THE FACILITY HAS NOT NOTIFIED LOCAL TRAFFIC SAFETY AUTHORITIES OF THE LOCATION AND THE PROGRAM'S USE OF PEDESTRIAN AND VEHICULAR ROUTES IN THE LAST TWELVE MONTHS.

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: DURING THE RENEWAL INSPECTION ON 2/26/19, THE FACILITY HAS NOT SENT THE EMERGENCY PLAN UPDATE TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/26/19, STAFF 9 FILE DID NOT CONTAIN VERIFICATION OF ANNUAL SIX HOURS OF CHILD CARE TRAINING BE COMPLETED.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/26/19, STAFF 5 FBI CLEARANCE WAS MORE THAN FIVE YEARS OLD. STAFF 5 FBI WAS DATED 1/9/14.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5-- 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 #--5- may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/26/19, STAFF 13 AND 16 FILE DID NOT CONTAIN VERIFICATION OF CHILD CARE EXPEERIENCE. STAFF 13 WAS MISSING TWO YEARS. STAFF 16 WAS MISSING ONE YEAR.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/26/19, THE OLDER TODDLER ROOM WAS MISSING TWEEZERS FROM THE FIRST AID KIT.

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: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, ALL REST EQUIPMENT WERE NOT LABELED WITH CHILDREN'S NAMES. THERE WAS ALSO AN INFANT SLEEPING IN ANOTHER'S CHILD PACK AND PLAY.

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: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, STAFF 8 AND 9 DID NOT KNOW ALL THE CHILDREN NAMES IN THERE GROUP.

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: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, STAFF 1, 8, AND 9 WERE EXPIRED.. STAFF 1 PHYSICAL READ 6/2/15. STAFF 8 PHYSICAL READ 7/13/16. STAFF 9 PHYSICAL READ 5/8/16.

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: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, STAFF 3 FILE DID NOT CONTAIN VERIFICATION OF BEING TRAINED IN THE EMERGENCY TRAINING PLAN.

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: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, CRIMINAL HISTORY/FBI CLEARANCE FOR STAFF 7 CONTAINS CHARGES WITH AN UNREPORTED DISPOSTION AND FILE DOES NOT CONTAIN DOCUMENTATION OF REQUEST FOR DISPOSTION OF CHARGES. A DISPOSITION FOR EACH CRIME IS REQUIRED IN ORDER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES (CPS) LAW AND 55 PA CODE CHAPTER 20.

Correction Required: STAFF 7 MUST OBTAIN DISPOSITION OF CHARGES WITHIN 30 DAYS AND PROVIDE DOCUMENTATION. STAFF 7 MUST BE SUPERVISED AT ALL TIMES UNTIL DISPOSTION IS OBTAINED.

Noncompliance Area: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, THERE WAS NO GROUP SUPERVISOR PRESENT AT THE FACILITY.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, STAFF 8 FILE DID NOT CONTAIN VERIFICATION OF EXPERIENCE FOR THE POSITION THEY HELD.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, THERE WERE 9 INFANTS IN ONE CHILD CARE SPACE.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 8/1/18, STAFF 8 LEFT THE FACILITY WITH 8 YOUNG SCHOOL AGERS AND 2 OLDER SCHOOL AGERS ALONE.

Correction Required: At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, CHILD 1,2 AND 3 AGREEMENT FORM DID NOT STATE THE ADMISSION DATE ON THE AGREEMENT.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, CHILD 5 EMERGENCY CONTACT FORM DID NOT STATE WHETHER THE CHILD HAD A DISABILITY.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, CHILD 5 FILE DID NOT CONTAIN VERIFICATION OF PHYSICAL AND IMMUNIZATIONS INTHE FILE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, CHILD 1,3 AND 4 FILE DID NOT CONTAIN AND UPDATED HEALTH REPORT

Correction Required: 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: DURING THE RENEWAL INSPECTION ON 5/18/18, STAFF 10 FILE DID NOT CONTAIN VERIFICATION OF PHYSICAL AND TB IN THEIR FILE.

Correction Required: 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.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: DURING THE RENEWAL INSPECTION ON 5/18/18, CHILD 3 EMERGENCY CONTACT FORM DID NOT HAVE A CONSENT FOR MINOR FIRST AID.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, CHILD 3 EMERGENCY CONTACT FORM DID NOT HAVE A CONSENT FOR TRANSPORTATION.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, STAFF 12 FILE DID NOT CONTAIN VERIFICATION OF AGE. CONTINUE NON COMPLIANCE FROM SIN 00132859.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, STAFF 412 AND 15 WERE MISSING ONE NON FAMILY REFERENCE FROM THEIR FILE. CONTINUE NON COMPLIANCE FROM SIN 00132859.

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: DURING THE RENEWAL INSPECTION ON 5/18/18, STAFF 12 FILE DID NOT CONTAIN VERIFICATION OF BEING TRAINED IN THE EMERGENCY PLAN.

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: DURING THE RENEWAL INSPECTION ON 5/18/18, STAFF 4 WAS MISSING DOCUMENTS FROM THEIR FILE. STAFF 4 WAS MISSING FBI CLEARANCE.. STAFF 4 WAS HIRED ON 11/28/17. STAFF 4 WAS SEEN SUPERVISING 9 CHILDREN ALONE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 -- 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 #4--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, STAFF 3, 12, AND 15 FILE WAS MISSING VERIFICATION OF EXPERIENCE AND EDUCATION. STAFF 15 HIGH SCHOOL DIPLOMA LOOKS ALTERED AND WAS PROVIDED A COPY FOR THE OFFICE FILE. STAFF 10 WAS MISSING VERIFICATION OF EDUCATION.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, THE ORAGE ROOM ON THE RIGHT OF THE OFFICE WERE MISSING THE PROTECTIVE OUTLET COVERS FROM THE SOCKET.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, THERE WAS CLOROX UNDER THE SINK IN THE BATHROOM ON LEFT IN UNLOCKED CABINET ACCESSIBLE TO CHILDREN.

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: DURING THE RENEWAL INSPECTION ON 5/18/18, THE YOUNG TODDLER SLEEPING AREA WAS MISSING SOAP FROM THE FIRST AID KIT. THE AFTER SCHOOL PROGRAM WAS MISSING TAPE FROM THE FIRST AID KIT. THE LAST CLASSROOM ON THE RIGHT PLAY SPACE WAS MISSING GLOVES FROM THE FIRST AID KIT.

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: DURING THE RENEWAL INSPECTION ON 5/18/18, THERE WERE SPOTTED CEILING TILES IN THE ORAGE ROOM ON THE RIGHT AND SHEET ROCK WAS EXPOSED IN THE ORANGE ROOM ON THE WALL.. THERE WAS ALSO SPOTTED CEILING TILES IN THE OT/YT CLASSROOM AND IN FRONT OF THE BATHROOM.

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 ON 5/18/18, THE LIGHT WAS NOT OPERABLE IN THE EXIT ON THE LEFT SIDE OF THE FIRE ESCAPE.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, THE TOILET CLOSER TO THE INFANT ROOM DO NOT FLUSH IN THE BATHROOM ON THE LEFT NEAR THE INFANT ROOM.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/18/18, THERE WAS A LADDER IN THE FIRE ESCAPE ACCESSIBLE TO CHILDREN CAUSING A HAZARD AND OBSTRUCTION TO EGRESS.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 4/10/18, THE LAST CLASSROOM ON THE LEFT DID NOT HAVE SUFFICIENT AGE APPROPIATE PLAY EQUIPMENT FOR THE YOUNG AND OLDER TODDLERS.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/10/18, STAFF 1 FILE DID NOT CONTAIN VERIFICATION OF AGE.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 4/10/18, STAFF 1 FILE DID NOT CONTAIN VERIFICATION OF TWO NON FAMILY REFERENCE ON FILE.

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: DURING THE UNANNOUNCED MONITORING INSPECTION ON 4/10/18, STAFF 1 FILE DID NOT HAVE VERIFICATION OF EDUCATION ON FILE.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 4/10/18, STAFF 1 WAS WORKING ALONE WITH THREE YOUNG TODDLERS AND ONE OLDER TODDLER.

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: DURING THE UNANNOUNCED INSPECTION ON 3/9/19, CHILD 7, 8, AND 9 WERE NOT BEING SUPERVISED ALONG WITH THE AFTER SCHOOL CHILDREN.

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: DURING THCONTINUE NON COMPLIANCE FROM SIN 00129528.E UNANNOUNCED INSPECTION ON 3/9/18, CHILD 1 AGREEMENT FORM DID NOT STATE THE FEE AMOUNT.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/8/18, THE AGREEMENT FOR CHILD 1 DID NOT HAVE THE NAME OF WHOM THE CHILD MAY BE RELEASED TO ON THE FORM. CONTINUE NON COMPLIANCE FROM SIN 00129528.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, CHILD 1 EMERGENCY CONTACT FORM DID NOT STATE THE MA POLICY NUMBER ON THE FORM. CONTINUE NON COMPLIANCE FROM SIN 00129528.

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: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, CHILD 5 EMERGENCY CONTACT FORM DID NOT HAVE RELEASE PERSON'S ADDRESS ON THE FORM. CONTINUE NON COMPLIANCE FROM SIN 00129528.

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: DURING THE UNANNOUNCED MONITORING INSPECTION ON 3/9/18, CHILD 5 EMERGENCY CONTACT FORM AGREEMENT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS. CONTINUE NON COMPLIANCE FROM SIN 00129528.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, CHILD 2, 3, 4, AND 6 FILE DID NOT CONTAIN VERIFICATION OF CURREENT PHYSICAL AND IMMUNIZATION RECORD.CONTINUE NON COMPLIANCE FROM SIN 00129528.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 3/9/18, CHILD 5 FILE DID NOT CONTAIN VERIFICATION OF CURRENT PHYSICAL AND IMMUNIZATION RECORD. CONTINUE NON COMPLIANCE FROM SIN 00129528.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, STAFF 2 PHYSICAL WAS DATED 4/25/14. CONTINUE NON COMPLIANCE FROM SIN 00129528.

Correction Required: 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.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: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, STAFF AT THE FACILITY WAS UNABLE TO RETRIEVE FILES FROM THE LOCKED OFFICE.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 3/9/18, THE INSPECTION SUMMARY FOR ISNPECTION CONDUCTED ON 1/30/18 WAS NOT POSTED IN A CONSPICUOUS LOCATION USED BY PARENTS.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, CRIMINAL HISTORY/FBI CLEARANCE FOR STAFF 1 CONTAINS CHARGES WITH AN UNREPORTED DISPOSTION AND FILE DOES NOT CONTAIN DOCUMENTATION OF REQUEST FOR DISPOSITION OF CHARGES. A DISPOSITION FOR EACH CRIME IS REQUIRED IN ORDER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES LAW AND 55 PA CODE CHAPTER 20. CONTINUE NON COMPLIANCE FROM SIN 00129528.

Correction Required: STAFF 1 MUST OBTAIN DISPOSTION OF CHARGES WITHIN 30 DAYS AND PROVIDE DOCUMENTATION. STAFF 1 MUST BE SUPERVISED AT ALL TIMES UNTIL COMPLETE DISPOSTION IS OBTAINED.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 3/9/18 AND SEVERAL OTHER VISITS THE DIRECTOR IS NEVER PRESENT. THE DIRECTOR NEEDS TO BE CALLED AND THEN SHE ARRIVES.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, THE INFANT AND PRESCHOOL ROOM WERE OUT OF RATIO. THE INFANT ROOM HAD ONE STAFF WITH 5 INFANTS, 1 YT AND 1 OT. THE PRESCHOOLERS HAD 1 STAFF WITH 11 PRESCHOOLERS. CONTINUE NON COMPLIANCE FROM SIN 00129528.

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). LEGAL ENTITY MUST ARRANGE FOR ALL FACILITY STAFF TO RECEIVE A MINIMUM OF TWO HOURS OF TRAINING REGARDING MAINTAINING RATIOS. THE LEGAL ENTITY MUST RECEIVED DPW APPROVAL OF THE TRAINING CONTENT PRIOR TO SCHEDULING THE TRAINING.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, THERE WAS A PLUG IN INSIDE THE WALL OUTSIDE THE ELEVATOR ON THE FIRST FLOOR ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, THE FIRST AID KIT IN THE 3RD AND 4TH CLASSROOM ON THE RIGHT IS MISSING TAPE. CONTINUE NON COMPLIANCE FROM SIN 00129528.

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: DURING THE UNANNOUNCED INSPECTION ON 3/9/18, THERE WERE SPOTTED CEILING TILES ON THE OUTSIDE OF THE WOMEN'S RESTROOM ON THE 2ND FLOOR.

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 UNANNOUNCED INSPECTION ON 1/30/18, CHILD 1 AGREEMENT FORM DID NOT STATE THE FEE AMOUNT. CONTINUE NON COMPLIANCE FROM 00126759.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: DDURING THE UNANNOUNED INSPECTION ON 1/30/18, THE AGREEMENT FOR CHILD 1 DID NOT HAVE THE NAME OF WHOM THE CHILD MAY BE RELEASED TO ON THE FORM. CONTINUE NON COMPLIANCE SIN 00126759

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

Noncompliance Area: DURING THE UNANNOUNED INSPECTION ON 1/30/18, CHILD 1 EMERGENCY CONTACT FORM DID NOT STATE THE MA POLICY NUMBER ON THE FORM. CONTINUE NON COMPLIANCE SIN 00126759.

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: DURING THE UNANNOUNCED INSPECTION ON 1/30/18, CHILD 5 EMERGENCY CONTACT FORM DID NOT HAVE THE RELEASE PERSON'S ADDRESS ON THE FORM. CONTINUE NON COMPLIANCE SIN 00126759.

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: DURING THE UNANNOUNCED MONITORING INSPECTION ON 1/30/18, CHILD 5 EMERGENCY CONTACT FORM AND AGREEMENT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS. CONTINUE NON COMOPLIANCE FORM SIN 00126759.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 1/30/18, CHILD 2,3,4 AND 6 FILE DID NOT CONTAIN VERIFICATIO NOF CURRENT PHYSICAL AND IMMUNIZATION RECORD. CONTINUE NON COMPLIANCE FROM SIN 0026759.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 1/30/18, CHILD 5 FILE DID NOT CONTAIN VERIFICATION OF CURRENT PHYSICAL AND IMMUNIZATION RECORD. CONTINUE NON COMPLIANCE FROM SIN 00126759.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 1/30/18, STAFF 9 WAS MISSING DOCUMENTATION FROM THEIR FILE. STAFF 9 PHYSICAL WAS BEYOND THE LAST TWO YEARS. STAFF 9 PHYSICAL WAS DATED 4/25/14. CONTINUE NON COMPLIANCE FROM SIN 00126759.

Correction Required: 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.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: DURING THE UNANOUNCED INSPECTION ON 1/30/18, CRIMINAL HISTORY/FBI CLEARANCE FOR STAFF 1 CONTAINS CHARGES WITH AN UNREPORTED DISPOSTION AND FILE DOES NOT CONTAIN DOUCMENTION OF REQUEST FOR DISPOSTION OF CHARGES. A DISPOSTION FOR EACH CRIME IS REQUIRED IN OREDEER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES LAW AND 55 PA CODE CHAPTER 20. CONTINUE NON COMPLIANCE FROM SIN 00126759.

Correction Required: STAFF 1 MUST OBTAIN DISPOSITON OF CHARGES WITHIN 30 DAYS AND PROVIDE DOCUMENTATION. STAFF 1 MUST BE SUPERVISED AT ALL TIMES UNTIL COMPLETE DISPOSITION IS OBTAINED.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 1/30/18, THE FIRST AND SECOND CLASSROOM ON THE LEFT WERE OUT OF RATIO. THE FIRST CLASSROOM ON LEFT HAD 10 PRESCHOOLERS AND 3 YOUNG SCHOOL AGE CHILDREN WITH ONE TEACHER. THE SECOND ROOM ON THE LEFT HAD 4 YOUNG TODDLERS AND 12 OLDER TODDLERS WITH 3 STAFF.

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: DURING THE UNANNOUNCED INSPECTION ON 1/30/18, THE BABY ROOM, THE BABY NAP ROOM , THE TODDLER ROOM, 3RD AND 4TH CLASSROOM ON RIGHT WERE ALL MISSING TAPE. CONTINUE NON COMPLIANCE FROM SIN 00126759.

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: DURING THE UNANNOUNCED MONITORING ON 12/19/17, THE ACTIVITY SCHEDULE WAS MISSING IN A FEW CLASSROOM. IT WAS MISSING IN THE AFTER SCHOOL ROOM, 1ST, 2ND, AND 3RD ROOM ON THE RIGHT SIDE OF THE BUILDING. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 12/19/17, CHILD 1 AGREEMENT FORM DID NOT STATE THE FEE AMOUNT. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 12/19/17, THE AGREEMENT FOR CHILD 1 DID NOT HAVE THE NAME OF WHOM THE CHILD MAY BE RELEASED TO ON THE FORM. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 12/19/17, CHILD 1 EMERGENCY CONTACT FORM DID NOT STATE THE MA POLICY NUMBER ON THE FORM. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

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: DURING THE UNANNOUNCED MONITORING INSPECTION ON 12/19/17, CHILD 5 EMERGENCY CONTACT FORM DID NOT HAVE THE RELEASE PERSON'S ADDRESS ON THE FORM. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

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: DURING THE UNANNOUNCED MONITORING ON 12/19/17, THE SECOND CLASSROOM ON THE RIGHT DID NOT HAVE THE EMERGENCY TRANSPORTATION PLAN POSTED IN THE CHILD CARE SPACE. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

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: DURING THE UNANNOUNCED MONITORING ON 12/19/17, CHILD 1 AND 5 EMERGENCY CONTACT FORM AND AGREEMENT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 12/19/17, CHILD 5 FILE DID NOT CONTAIN VERIFICATION OF CURRENT PHYSICAL AND IMMUNIZATION RECORD. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to 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.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 12/19/17, CHILD 2,3,4 AND 6 FILE DID NOT CONTAIN VERIFICATION OF CURRENT PHYSICAL AND IMMUNIZATION RECORD. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 12./19/17, STAFF 1 AND 9 WAS MISSING DOCUMENTATION FROM THERE FILE. STAFF 1 AND 9 PHYSICALS WERE BEYOND THE LAST TWO YEARS. STAFF 1 PHYSICAL WAS DATED 5/20/15. STAFF 9 PHYSICAL WAS DATED 4/25/14. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: 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.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: DURING THE UNANNOUNCED INSPECTION ON 12/19/17, THERE WERE TWO UNLOCKED DOORS THAT PUT YOU ON THE ROOF ONCE OPENED, THAT ARE ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 12/19/17, CRIMINAL HISTORY/FBI CLEARANCE FOR STAFF 1 CONTAINS CHARGES WITH AN UNREPORTED DISPOSTION AND FILE DOES NOT CONTAIN DOCUMENTATION OF REQUEST FOR DISPOSTION OF CHARGES. A DISPOSITON FOR EACH CRIME IS REQUIRED IN ORDER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES LAW AND 55 PA CODE CHAPTER 20. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 12/19/17, THERE WAS NO FIRST AID KIT IN THE 3RD AND 4TH CLASSROM ON THE RIGHT SIDE OF THE BUILDING. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 12/19/17, THE BABY ROOM, BABY NAP ROOM, AND TODDLER ROOM WERE MISSING ITEMS FROM THERE FIRST AID KIT. THE BABY ROOM WAS MISSING TAPE. THE NAP ROOM WAS MISSING GLOVES AND TAPE. THE TODDLER ROOM WAS MISSING TWEEZERS AND TAPE. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

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: DURING THE UNANNOUNCED MONITORING ON 12/191/7, THERE WAS PEELING PAINT IN THE PRESCHOOL ROOM ON THE RED SIDE WALL. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 12/19/17 THERE WAS NO LIGHT IN THE FIRE EXIT ON THE RIGHT SIDE OF THE BUILDING. CONTINUE NON COMPLIANCE FROM SIN - 00124286.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: DURNG THE RENEWAL INSPECTION ON 10/27/17, THERE WAS NO PLAY EQUIPMENT IN THE INDOOR PLAYSPACE.

Correction Required: Play equipment and materials shall include toys and equipment for large muscle development.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/27/17, THE OLDER TODDLER ROOM, INFANT ROOM, YOUNG TODDLER ROOM, AFTER SCHOOL ROOM, FIRST AND SECOND ROOM ON RIGHT, 3RD ROOM ON THE RIGHT WERE MISSING THE DAILY ACITIVITY SCHEDULE.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/27/17, A YSA CHILD WAS NOT BEING SUPERVISED WHEN HE WALKED FROM THE AFTER SCHOOL ROOM TO THE BATHROOM NEXT TO THE OFFICE ALONE.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/27/17, CHILD 1 AND 6 AGREEMENT FORM DID NOT STATE THE FEE AMOUNT.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/27/17, CHILD 2 AGREEMENT FORM DID NOT STATE THE CHILD'S ARRIVAL OR DEPARTURE TIME ON THE FORM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/27/17, THE AGREEMENT FORM FOR CHILD 1,2,3,4 AND 6 DID NOT HAVE THE NAME OF WHOM THE CHILD MAY BE RELEASED TO.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/27/17, THE AGREEMENT FORM FOR CHILD 3 DID NOT STATE THE CHILD'S ADMISSION DATE.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/27/17, THE EMERGENCY CONTACT FORM FOR CHILD 1 AND 2 WERE MISSING INFORMATION. CHILD 1 FORM WAS MISSING MA POLICY NUMBER. CHILD 2 FORM WAS MISSING MA COVERAGE NAME.

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: DURING THE RENEWAL INSPECTION ON 10/27/17, THE EMERGENCY CONTACT FORM FOR CHILD 2,3 AND 5 WERE MISSING INFORMATION. CHIDL 2 FORM DID NOT HAVE THE RELEASE PERSON ADDRESS AND PHONE NUMBER. CHILD 3 FORM DID NOT HAVE THE RELEASE PERSON'S NAME, ADDRESS OR PHONE NUMBER. CHILD 5 FORM DID NOT HAVE THE RELEASE PERSON'S ADDRESS.

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: DURING THE RENEWAL INSPECTION ON 10/27/17, THE SECOND AND FOURTH CLASSROOM ON THE RIGHT AND THE YOUNG TODDLER ROOM DID NOT HAVE THE EMERGENCY TRANPORTATION PLAN POSTED IN THE CHILD CARE SPACE.

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: DURING THE RENEWAL INSPECTION ON 10/27/17, CHILD 1,4 AND 5 EMERGENCY CONTACT FORM AND AGREEMENT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS. CHILD 6 EMERGENCY CONTACT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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: DURING THE RENEWAL INSPECTION ON 10/27/17, CHILD 5 FILE DID NOT CONTAIN VERIFICATION OF CURRENT PHYSICAL AND IMMUNIZATION RECORD.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to 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.