Bangor Pre-school

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: It was determined through staff interviews that during an incident on 7/27/26, Staff Person #1 forcefully grabbed a binkie out of Child #1's mouth. The child became fearful, started crying and clinging onto the legs of Staff Person #2. Staff Person #1 then forcefully grabbed Child #1 by the upper arm and removed the child from Staff Person #2. It was also determined that on another occasion, Staff Person #1 picked up the cot of Child #2 while the child was on it, flipped it over and dumped the child off the cot for not putting their shoes on. During an onsite inspection on 8/5/26, the certification representative observed Staff Person #1 grabbing Child #2, who was holding onto the back of a chair, by the wrist and pull him to where other children were seated.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Tiered LIS: 1.) A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan requires an immediate date of correction. 2.) The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved training regarding Behavior Management. The legal entity must receive DHS approval of the training content prior to scheduling the training. All staff hired by the date of the training must take the training. This date of correction will be when all staff have taken the training and any follow up from the trainer is received.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: At the time of the inspection, through staff interviews it was determined that staff person #1 would make derogatory remarks to child #2 regarding the child's family and uses explicit language such as the words sh*t and a**hole in front of and to the child.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. 1.) A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan requires an immediate date of correction. 2.) The legal entity will update their policies and procedures to address staff's expected appropriate behavior, language and interactions with children. The policies should also include things that are deemed inappropriate as far as explicit language in front of children, demeaning the child and speaking negatively regarding a child's family, and inappropriate behaviors. The policy must also include the requirements for staff to report to administration when these behaviors are observed with another staff person. This policy must be sent to the Regional Office for review. Once approved, all staff will be trained in the policy and procedures, and documentation will be placed in their file. This date of correction will be when all requirements have been met. 3.) The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved training regarding Looking through the Lens of Stress as an Educator. The legal entity must receive DHS approval of the training content prior to scheduling the training. All staff hired by the date of the training must take the training. This date of correction will be when all staff have taken the training and any additional follow up from the trainer is completed.

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #2 did not contain the address of the individual designated by the parent to whom the child may be released. The agreement for child #2 did not specify the persons designated by a parent to whom the child may be released as specified on the emergency contact form

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

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: At the time of the inspection at 9:11am, child #1 and child #2 were observed laying on the floor in the infant room with their heads propped up by pillows. Staff person #1 was feeding child #1 and #2's bottles simultaneously while the children were laying down. The age of these children requires them to be held while being fed a bottle (see LIS code sheet for date of birth).

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.20(a)(1)/3270.182(7)

Description: Inpatient hospitalization or ER treatment of child/Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During the inspection on 5/27/26, the operator acknowledged that when child #3 received emergency room treatment on 4/30/26, they were not aware they needed to notify the regional office and therefore did not report the incident as required. The record for Child #3, or the facility accident file did not contain a copy of the incident report provided to the parent on the day of the injury. The facility indicated that they gave the report to the parent, but was not copied prior to giving it to the parent. This incident report has since been discarded by the parent, as acknowledged by the parent.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #2 did not have a completed FBI clearance on file or proof of fingerprinting completed prior to working with children. Staff person #2 was observed having direct contact and routine interaction with children (see LIS code sheet for date of hire).

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. Staff person #2 may not work in a childcare position with direct contact and routine interaction with children until all completed clearances are on file at the facility.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: At the time of the inspection, a crack was observed in the plastic seat of the wooden preschool playground equipment. When pressure was added to the crack, it would separate posing a pinch point for children sitting on the seat.

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. 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.

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: At the time of the inspection, the agreement on file for child #1 - child #8 did not include the date of admission or 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. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #4 did not include the name, address and telephone number of 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, there was only one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person on file for staff person #1, #7 and #9.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person #2 only took 7 clock hours of childcare training during the 8/2024-8/2025 training period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #2 must take 5 hours of professional development to fulfill requirement for training year 8/2024-8/2025. Hours used to fulfill training year 8/2024-8/2025 may not be used to fulfill current training year.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 has not completed the following required pre- service training within 90 days of their date of hire: Pediatric First Aid/CPR training (see LIS code sheet for date of hire).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #6 was not hired correctly as a provisional hire under the CPSL hiring requirements. This is evidenced by the FBI clearance on file for staff person #6 dated 6/24/25, which was after the first day working with children; and there was no proof of submission for fingerprinting for the DHS FBI clearance. Staff person #13 acknowledged that staff person #6 had direct contact and routine interaction with children while awaiting the FBI clearance. Staff #6 also did not have a signed disclosure statement on file (see LIS code sheet for first day working with children). The FBI clearance for staff person #9 was missing the RAP sheet that accompanied it. The clearance had a torn, left upper corner, and Staff #9 admitted to removing the RAP sheet 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. The OCDEL Announcement C-25-01, effective 2/1/25, states that an individual may be employed on a provisional basis in a certified child care facility when the following conditions are met, and documentation is maintained on file: Have results of the following, no older than 60 months: 1. PA Child Abuse History Clearance; 2. NSOR verification; 3. Out-of-state clearances (if applicable); 4. Signed Disclosure Statement for Child Care Employment; and 5. Either FBI Criminal History Clearance; or PSP Criminal History Clearance In addition to those obtained, the following clearances must be applied for prior to starting provisional employment: 1. FBI Criminal History Clearance; or 2. PSP Criminal History Clearance

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: At the time of the inspection, there was no high school diploma to accompany the college credits on file for staff person #6.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During the inspection, staff acknowledged that in the toddler room, they previously used highchairs to place young toddlers in, for purposes of discipline, for periods of up to 5 minutes.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Tiered LIS: 1.) A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The updated policies must include expectations for appropriation interactions between staff and children, including appropriate redirection of children. Policies should also include procedures for staff to follow if they feel they are becoming stressed in the classroom and include the restriction of restraining a child for behavioral reasons, with the exception of the use of adaptive equipment prescribed for a child with special needs. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure, and it must be documented in their files. The date of correction for this plan will be when all requirements have been satisfied.

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: At the time of the inspection, question #1 on the health assessment for staff person #3 did not include an answer if a physical examination was conducted.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the inspection on 10/6/25, staff person #5 did not complete Pediatric First Aid/CPR training within 90 days of hire. This is evidenced by the Pediatric First Aid/CPR training on file dated 7/24/25 (see LIS code sheet for date of hire).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #4 did not update the NSOR every 60 months, as required. This is evidenced by the current NSOR on file dated 9/11/25 and the previous NSOR on file dated 8/5/20. Staff person #4 had direct contact and routine interaction with children.

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. The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection on 10/6/25, the last documented fire drill conducted was on 7/17/25 and not every 60 days, as required.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, staff acknowledged that they do not wash their hands or the hands of the children after diapering.

Correction Required: Tiered LIS: 1.) A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. This portion of the plan shall have an immediate correction date. 2.) The legal entity must develop or update their written child and adult hygiene procedures to be implemented in the facility. The written policy must address that a facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. It must also include that a staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure, and it must be documented in their files. The operator shall provide a date for when the policies will be updated, and staff will be trained in them.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of the inspection, staff person #8's health assessment read "yes" to communicable diseases with no additional documentation describing the conditions and the risk it might pose to others exposed to this individual, as required on the staff health assessment.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #5 and staff person #8 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, staff person #9 did not update mandated reporter training every 60 months prior to the current certificate's expiration, as required. This is evidenced by the current mandated reporter training dated 3/24/25 and the previous mandated reporter training dated 3/12/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). As per OCDEL Announcement C-25-01, mandated Reporter Training must be renewed every 60 months (5 years), prior to the previous certification turning 60 months.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment on file for child #5 did not include a statement that the child is able to participate in child care 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 child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: At the time of the inspection, staff person #2 had a health assessment dated 8/27/24 which was after the initial hire date (see LIS code sheet for date of hire.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10)within 90 days of hire. Staff person #8 will have until 1/3/25 to complete the required training. Until such time as the required training has been completed, staff person #8 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #8, staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: During the inspection on 10/11/24, the last documented manual monthly monitoring of the fire detection system was last conducted on 8/2/24 and not every 30 days as required.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the unannounced inspection, staff person #5 and staff person #9 were observed together caring for children unsupervised. Staff person #5 and staff person #9 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training. Staff person #5 also has not completed Health and safety training requirements.

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. Until such time as the required pre-service trainings are completed, staff persons #5 and #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #5 and #9, staff persons #5 and #9 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Staff person #6 did not have a health assessment and TB test on file dated within 12 months of hire. This is evidenced by the health assessment and TB test on file dated 8/15/22 (see LIS code sheet for date of hire).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: Staff person #1 only had a CDL health assessment on file and not a staff health assessment that includes an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide childcare. The health assessment for staff person #9 did not include the physician's or CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #5 and #9 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #9 did not have a signed disclosure statement on file. Staff person #9 also did not have a completed NSOR certificate on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire).

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. Staff Person #9 may not work in a child care position at the facility until the NSOR is received.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: Staff person #9 did not have any education and prior childcare experience on file at time of hire (see LIS code sheet for date of hire).

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection on 12/13/22 cert rep reviewed several children's files. CHILD #4 emergency contact form and financial agreement were last updated on 7/6/2020. Both dates are more than 6 months ago.

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. 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.

Regulation: 3270.131(a)/3270.131(c)

Description: Health information/Completed or signed by physician, PA, or CRNP

Noncompliance Area: During renewal inspection on 12/13/22 cert rep reviewed several children's files. CHILD #1 (see code sheet for start date) has been enrolled more than 60 days and does not have a health assessment and immunization record in file. CHILD #2 (see code sheet for start date) has been enrolled for more than 60 days and does not have a health assessment in file. CHILD #3 (see code sheet for start date) has been enrolled more than 60 days and does not have a health assessment in file. CHILD #5 (see code sheet for start date) has been enrolled more than 60 days and does not have a health assessment and immunization record in 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 must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During renewal inspection on 12/13/22 cert rep reviewed several children's files. CHILD #6, a preschool child, (see code sheet for DOB and start date) last health assessment was dated 9/28/2020.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection on 12/22/21 cert rep observed that the refrigerator in the Young Toddler room did not have a thermometer to indicate the temperature.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on 12/22/21 cert rep observed damaged paint by the cozy area and near the sink in the T3 classroom.

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

Noncompliance Area: During the Renewal Inspection on 12/18/2019, Staff #1 and Staff #2 both had current clearances on file. However, the FBI clearance for Staff #1 was dated 6/27/2019. The previous FBI clearance for Staff #1 was dated 2/25/2014. Staff #2 renewed her FBI, state police and child abuse clearances in July and August 2019. All three of these previous clearances for Staff #2 were more than 5 years old when they were renewed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All clearances for staff must be updated within every 5 years as required by the CPSL.

Noncompliance Area: On 12/20/2018, the most recent health assessment on file for Staff #2 was dated 12/15/2016.

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 12/20/2018, the child abuse clearance that was on file for Staff #1 was a volunteer clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff clearances cannot be volunteer clearances.

Noncompliance Area: On 12/20/2018, the hot water temperature for the sink in the school age classroom measured 120 F.

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

Noncompliance Area: Three of the rest mats in the Older Toddler classroom had cracks in the plastic leaving rough edges exposed.

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: The most recent health report on file for Child #1, a Young Toddler is dated 4/10/2017.

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

Noncompliance Area: Staff #1 began working with children at the facility on 9/25/2017. The FBI clearance on file is dated 10/2/2017. There isn't any proof on file that Staff #1 was fingerprinted on or before 9/25/2017. Staff #2 began employment on 2/14/2017, but did not complete the mandated reporter training until 6/27/2017.

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

Noncompliance Area: Staff #2 and Staff #3 were observed working as the two staff in the young toddler classroom. Staff #2 and Staff #3 currently qualify as aides.

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: Ten children were observed in both the Pre K 3 and 4 classroom and in the Transitional 3 classroom. Both of these classrooms have a measured capacity for seven children.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: The hot water temperature in the Pre K bathroom measured 122 F. The hot water temperature in the kitchen used by children measured 132 F.

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

Noncompliance Area: Peeling paint was seen near the back of the Pre K 3 and 4 classroom.

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

Noncompliance Area: Child files 4, 8 and 10 were missing complete health insurance inforrmation.

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: Child files 3, 5, 6, and 9 emergenc contact and agreement forms have not been updated since June 2016. Child file 1 emergency contact and agreement form has not been updated since February 2016.

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: Child file 1 had an enrollment date of 2/22/16, child file 5 had an enrollment date of 6/1/16 (only contained an immunization record), child file 8 had an enrollment date of 8/29/16, child file 9 had an enrollment date of 6/8/16, child file 10 had a date of enrollment of 8/22/16 and the files did not contain an initial health report or immunization.

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 child`s record shall contain initial and subsequent health reports.

Noncompliance Area: Child file 6 has not had an updated health report or immuniztion in the file since 8/31/15. Child file 7 had a current health report and immunization in the file but did not contain one from 2015.

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: Child file 1 had an enrollment date of 2/22/16, child file 5 had an enrollment date of 6/1/16 (only contained an immunization record), child file 8 had an enrollment date of 8/29/16, child file 9 had an enrollment date of 6/8/16, child file 10 had a date of enrollment of 8/22/16 and the files did not contain an initial health report or immunization.

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

Noncompliance Area: Staff file 2 has not had an udpated health assessment completed since 12/31/14.

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: Staff file 3 was missing two letters of written 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: The facility was attempting to qualify staff # 1 as an assistant group supervisior, but the file lacked proof of education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general education development certificate and have completed a post-secondary training curriculum described in 3270.31(c).A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.