Appleseeds Learning Center Llc

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the files for child #1, child #2, child #3, child #4 and child #5 did not include an agreement date on the agreement forms.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.131(b)(1)/3270.131(e)

Description: Infant: updated health report every 6 months/ACIP recommended immunization record

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child#3 did not have an updated health report or immunizations.

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 facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #3 and staff #4 did not contain the required health and safety professional development training(s).

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)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #2 and staff #4 did not include a staff physical and health assessment. The files for staff #3 and staff #4 did not have TB test results.

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.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files for staff #3 and staff #4 did not include employment verification. The files for staff #2 and staff #4 did not include verification of education.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1, staff#2,staff #3 and staff #4 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #1, staff #2, staff #3 and staff #4 did not contain a record of emergency plan training.

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.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

Description: Age and Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the files for staff #2, staff #3 and staff #4 did not contain a PQAS certified pediatric cpr and first aid training.

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. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the files for staff #1 ,staff #2 and staff #3 did not include fire safety training.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed during 4 staff files and the files for: 1. staff #3 did not include mandated reporter training or the PA state criminal clearance. 2. The file for staff #4 3 South Dakota clearances. *Staff #3 and staff #4 were also working alone with children during the renewal inspection despite not having the proper clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff #3 and staff #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. Staff #3 and staff #4 may not work in a child care position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the renewal inspection, certification representative did a facility walkthrough and staff #2, staff #3 and staff #4 were working unsupervised despite not having the proper qualifications to work alone.

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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the initial inspection, certification representative reviewed 8 staff files and the files for staff #5 AND STAFF #8 did not have a health assessment or TB test results. The file for staff # 7 is missing TB results.

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.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the initial inspection, certification representative reviewed 8 staff files and the file for staff #1,staff #2,staff #3,staff #4,staff #5,staff #6 and staff #7 was missing a verification of childcare experience and the file for staff #5, staff #6 and staff #8 did not include the verification of education.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the initial inspection, certification representative reviewed 8 staff files and the file for staff #1, staff #2,staff #3, staff #4, staff #5 and staff #6 did not contain 2 written 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the initial inspection, certification representative reviewed 8 staff files and the files for staff #7 and staff #8 did not contain a record of emergency plan training.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the initial inspection, certification representative reviewed 8 staff files and the file for staff #1 did not include 12 hrs of childcare training.

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

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

Description: Age and Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During the initial inspection, certification representative reviewed 8 staff files and the files for staff #3,staff #4, staff #5 and staff #8 did not contain a PQAS certified pediatric cpr/first aid certification from an approved provider /approved course.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: During the renewal inspection, certification representative reviewed 6 staff files and the file for staff #3, staff #4, staff #5,staff #6,staff #7 and staff #8 did not contain the required health and safety professional development training(s).

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection, certification representative reviewed during 8 staff files and the files for staff #5 and staff #8 did not include mandated reporter training

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the initial inspection, certification representative reviewed 8 staff files and the files for staff #3 and staff #8 is missing the PA criminal/state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: STaff #3 and staff #8 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.

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: During the initial inspection , certification representative conducted a facility walk through, and the basement area on the left of the stairs was not set up for its intended use, there was just two tables in the area. What was described as the after school area,in front of the stairs, had highchairs, infant buggies and infant furniture and it appears to also be used as a storage area.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During the initial inspection, certification representative conducted a facility walk through, and the gate in the outdoor area on the stairs is broken.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.66(a)/3270.66(b)

Description: Locked or inaccessible/Original container

Noncompliance Area: During the initial inspection, certification representative did a facility walk through, and the maintenance room door in the hall has toxic materials inside and is unlocked, making the toxic materials inside accessible to children. There was a paint can and hand sanitizer in the landing area at the top of the stairs of the after school area, the maintenance room doors in the area to the left of the stairs in the basement are unlocked and there's toxins, saws,screwdrivers and other construction tools 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. 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.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the initialal inspection, certification representative conducted a facility walk through and there was chipped paint and areas in disrepair throughout the facility in the following areas: 1.Chipped paint through out the infant room on doors and walls, toddler room, the monkey bars and middle train in outdoor play area, stalls and doors of bathroom in the basement area on the right, and throughout the after school area. 2. There are damages/disrepair in the following areas: the ceiling tile in the hallway above the door is damaged and the bathroom in the hall has broken tile on wall in front of toilet. In the infant room there are soiled baby chairs, a soiled changing table cover,cracked tiles near the sink, the sink is broken and there are ceiling tiles that are damaged and slightly hanging. In the toddler room on the right side of the hall there are buckling and holes in the floor,missing and loose tiles with areas of the floor taped up and walls windows in disrepair, The area on the left of the stairs in the basement has a broken maintenance room door and the after school area in front of basement stairs has broken electrical sockets throughout: the wall near the exit has a nail hanging from the wall socket with tape and is loose, there holes throughout the space in the walls, some behind wooden pieces near the baseboards, under wall heaters, wall near entrance door under the board, folding chairs with broken or torn covers/leather.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the initial inspection, certification representative conducted a facility walk through and the toilet near the wall in the basement bathroom is loose.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the initial inspection, certification representative did a facility walk through, and the fire exit door in the preschool room was obstructed by chairs and the fire exit door in the rear of the basement,in the after school area was locked.

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 RENEWAL INSPECTION ON 9/27/19, 2 OF THE CRIBS HAD TORN MATTRESS LINERS THAT MADE THE MATTRESSES UNSAFE FOR INFANTS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/19, THE PARENT HANDBOOK DID NOT HAVE LANGUAGE THAT ADDRESSED A DISMISSAL POLICY.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/19, THE EMERGENCY CONTACT FORMS IN THE CHILDREN'S FILES WERE NOT UPDATED WITHIN THE REQUIRED 6 MONTH PERIOD.

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 RENEWAL INSPECTION ON 9/27/19, THE PROVIDER DID NOT NOTIFY THE LOCAL TRAFFIC AUTHORITY OF THE PROGRAM'S USE OF PEDESTRIAN AND VEHICULAR ROUTES AROUND THE 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 day care facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/19, STAFF PERSON # 1 (HIRED 4/29/19) DID NOT HAVE FBI CLEARANCE OR STATE POLICE CLEARANCE IN HER FILE.

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. 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 #1 may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/19, STAFF PERSON # 2 WAS ALONE WITH 4 INFANTS. STAFF PERSON # 2 DOES NOT HAVE VERIFICATION OF EDUCATION IN HER FILE.

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. 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 9/27/19, THE PLASTER AROUND THE BREAKER BOX IN THE INFANT ROOM WAS BRITTLE AND IN POOR REPAIR.

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: Observed children in the older toddler room were not strapped in on the toddler table.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: Observed infant asleep in the high chair in the infant room.

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: Observed child #4's agreement did not specify the amount of the fee to be charged per day or per week.

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

Noncompliance Area: Observed child #1, #2, #3, #4 and #5's child service reports were not on file.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Observed child #2 and #4's agreement 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: Observed child #1 and #2's agreement did not specify the date of the child's admission.

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

Noncompliance Area: Observed child #2's emergency contact information did not include the name of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Observed child #2, #3 and #5's emergency contact information did not include the work addresses and 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.

Noncompliance Area: Observed child #6's emergency contact information did not include the 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: Observed child #2 and #5's emergency contact information did not include the individual designated by the parent to whom the child may be released.

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: Observed child #2, #3 and #5's records did not contain updated health reports in 12 month period.

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: Observed the facility did not have the liability insurance verification on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: Observed child #5's emergency contact information was not updated in a 6-month period.

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: Observed child #5's record did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Observed child #3, #4 and #5's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: Observed staff person #3 and #4's record did not include verification of child care experience prior to service at the facility.

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: Observed staff person #1 and #2 did not have emergency plan training verification on file.

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: Staff person #1 did have verification of annual 6 clock hours of training. Staff person #2 and #3 did not have verification health and safety training completed.

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

Noncompliance Area: Observed staff person #2 did not have mandated reporter training verification on file.

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

Noncompliance Area: Observed missing protective receptacle covers in electrical outlets in the infant room, preschool room and hallway.

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

Noncompliance Area: Observed cleaning materials child accessible in the after school room.

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: Observed the floor and rugs in the preschool room appeared unclean. Observed a wall missing sheetrock exposing the inside of the wall in the after school room. Observed exposed wires and plaster in the computer room. Observed the stairs leading from the basement level are in need of repair.

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: Observed high chairs missing the T-shaped safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: Observed that the Toddler rooms refrigerator did not contain a thermometer.

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: Observed the toddler room and computer room did not have daily schedules posted.

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

Noncompliance Area: Staff in the Toddler room had their back turned away from the children and the children were observed hitting each other repeatedly while the staffs backs were turned.

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: Child #1 and #2's agreement did not specify the date of the child's admission.

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

Noncompliance Area: Child #1's agreement did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: Observed child's medication kept in the cabinet in the office but no medication log to document administration.

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

Noncompliance Area: Observed bottles containing milk not stored in the refrigerator.

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

Noncompliance Area: Current menu was not posted in a conspicuous location.

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

Noncompliance Area: Observed bottles were not labeled with the child's name.

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

Noncompliance Area: Observed safe routes were not posted in a conspicuous location.

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

Noncompliance Area: Observed the transportation first-aid kit did not include scissors, soap and water.

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: Child #2's emergency contact form was not updated in a 6-month period.

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: Staff person #5 and #6's records did not include verification of age.

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

Noncompliance Area: Staff person #4, #5, #6, #7, #8 and #9 did not have verification of childcare experience. Staff person #3, #4, #5, #6, #7 and #9 did not have verification of education and training prior to service at the facility.

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: Staff persons #5, #6 and #9 did not have initial health assessments on record including the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Correction Required: 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: Staff person #3's criminal history record did not give an outcome as it stated request under review. Staff person #6 did not have the state police criminal history clearance on record. Staff person #5 and #8 did not have the FBI clearance on record.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: Staff person #2, #3, #4, #5, #6, #7, #8 and #9's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: Observed a copy of the applicable regulations under which the facility is certified was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

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: Staff person #2 and #3 did not have an annual minimum of 6 clock hours of child care training on record.

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

Noncompliance Area: Staff person # 1, #2 and #3 did not have fire safety training on record.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: Staff person #5, #6, #7 and #8 did not have mandated reporter training on record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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.

Noncompliance Area: Staff person #3 did not have a written evaluation on record.

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: Observed diaper rash cream child accessible in the toddler room.

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: Hot water temperature in facility measured at 130 F.

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

Noncompliance Area: Observed soap was missing in first-aid kit in the toddler room. Observed missing medical tape in the computer room.

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: Observed ripped carpet in the preschool room and an exposed heating pipe in the toddler room.

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: Observed chipped paint in the facility.

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