Beacon Day Care

Noncompliance Area: Observed an infant sleeping in a Pack n Play which was not labeled for the infant's use.

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: The file for child #1 contains an initial health report dated more than 60 days after the child's first date of attendance at the facility. Child #1 was in attendance more than 60 days prior to the COVID-19 suspensions.

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: The file for child #2 lacks verification of a current Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current Flu vaccine administered in accordance with the schedule recommended by the ACIP.

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

Noncompliance Area: The most recent health assessments on file for staff person #1, #2 are dated more than 24 months ago. The two most recent health assessments on file for staff person #5 are dated in an interval greater than 24 months.

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: In the infant room, observed one unlabeled bottle which had been used to feed an infant.

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

Noncompliance Area: The file for child #1 lacks signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff.

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. 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: The file for staff person #8 and #9 each contains two written, non-family references dated after the staff person's first date of employment at the facility.

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 file for staff person #3, staff person #4, and staff person #6 contain mandated reporter training that was updated in an interval greater than 60 months.

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

Noncompliance Area: Observed an inaccessible spray bottle of unknown liquid in the toddler room. Staff identified the liquid as bleach water.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed accessible stickers below the window in the infant room which have a diameter of less than 1 inch.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: Observed 2 infants sleeping in Pack n Plays with thick blankets covering their torsos.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: Observed two accessible electrical outlets in an extension cord in the young toddler room.

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

Noncompliance Area: Observed an accessible bottle of Vicks Vapo Rub labeled "keep out of reach of children' in a backpack located in a low cubby in the hallway.

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 an area of peeling paint in the young toddler room on the inside wall.

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

Noncompliance Area: Observed plastic pretend food toys in the toddler room with bite and chew marks. Observed foam blocks in the toddler room with bite marks and missing chunks of foam.

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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: Observed an infant sleeping in a Pack n Play which was not labeled for the child's use. Observed preschool aged children during nap time using rest equipment which was not labeled for their use.

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: At approximately 9:20 a.m., a group of 13 mixed-age children consisting of preschoolers and young and older-school age children was being supervised by staff persons #3 and #6. Staff person #3 identified responsibility for 6 preschoolers and staff person #6 identified responsibility for two preschoolers, 3 young school-agers and one older school-ager, leaving one child not identified in a supervisory 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: The file for child #3 contains an agreement which lacks the operator's signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The file for child #2, child #3, child #4 and child #5 contains the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file for child #5 contains emergency contact information which lacks 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: The file for child #1, child #3, child #4 and child #5 contains emergency contact information which lacks the complete address of a parent-designated release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The emergency contact information for child #5 was not present in the preschool room while child #5 was receiving care in the room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file for child #1 contain health reports which are dated in an interval which exceeds 6 months.

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: The file for child #3 lacks verification of a current flu vaccine administered in accordance with the schedule recommended by the ACIP.

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

Noncompliance Area: The medication log for child #6 lacks a parent's written consent for administration.

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

Noncompliance Area: The two most recent health assessments on file for staff person #2 are dated in an interval which exceeds 24 months.

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

Noncompliance Area: The file for staff person #5 contains a health assessment conducted and signed by a chiropractor.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: In the infant room, observed bottles which lack the child's name.

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

Noncompliance Area: The last written review and updated of the emergency contact information and agreement for child #4 is dated more than 6 months ago. The last written review and update of the agreement for child #3 is dated more than 6 months ago.

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: The file for staff person #1 and staff person #2 lacks verification of 6 hours of child care training which was completed in the most recent service year.

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

Noncompliance Area: The file for staff person #4 lacks a compete state police clearance, making it invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility until a valid state police clearance is on file at the facility.

Noncompliance Area: Observed the following items labeled 'keep out of the reach of children' in a diaper bag in a low cubby in the lobby area" Aquafor, sunscreen and Orajel.

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: At approximately 4:15 p.m., observed a group of 9 older and younger toddlers receiving care in the toddler room. Staff person #1 identified and claimed responsibility for 3 children and staff person #2 identified and claimed responsibility for 4 children, leaving 2 children who were not identified in a supervisory 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: At approximately 4:10 p.m., observed 17 children receiving care in the preschool room which is a child care space that has a capacity of 14.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: On 05/10/19, observed that the lock on the kitchen door was not engaged, allowing children access to the stove.

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

Noncompliance Area: On 05/10/19, observed an unlocked storage closet in the preschool room which contained laundry detergent, cleaning liquids, and sunscreen, all labeled 'keep out of the reach of 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: At 12:05 p.m., observed child #1 asleep in a bouncy chair.

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.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file for child #4 and child #5 lacks a current child service report. Child #4 and child #4 have been in attendance at the facility more than 6 months.

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: The file for child #4 lacks an initial health report. Child #4 has been in attendance at the facility more than 60 days.

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: The most recent health report on file for child #5, a young toddler, is dated more than 6 months ago. The file for child #3 contains health reports which were updated in an interval which exceeds 6 months.

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: There was no written parental consent for administration of a tube of antifungal cream observed in the toddler room for child #2.

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

Noncompliance Area: There was no written statement giving the formula and feeding schedule for child #1, a 10 month old.

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

Noncompliance Area: The file for child #3 contains emergency contact information which was updated in an interval which exceeds 6 months. The file for child #4 contains emergency contact information which was updated in an interval which exceeds 6 months and an agreement which was updated more than 6 months ago. The file for child #5 contains an agreement which was updated more than 6 months ago.

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: The file for child #3 lacks an initial and/or current agreement.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: In the infant room, child #1, a 10 month old, was observed sleeping in a pack n play in which the fitted sheet was very loose, creating a suffocation hazard.

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

Noncompliance Area: The file for staff person #1 lacks verification of current fire safety training.

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: There was a spray bottle of cleaning solution hanging from a shelf in the preschool room, low enough to be accessible to the school-age children in the room. There was a can of Lysol spray on a shelf in the adult bathroom, to which the door was open, making it accessible to the school-age children in care. There was a bottle of sunblock in a book bag on a low shelf in the hall cubbies, making it accessible to the children in care. All items included instructions to keep out of the reach of 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: There was an unlabeled bottle of cleaning solution in the infant room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: At approximately 11:00 a.m., certification representative observed staff person #1 and staff person #2 in the outdoor play space with a group of 10 young and older toddlers. Staff person #1 identified responsibility for 6 children, all of whom were older toddlers. Staff person #2 identified responsibility for 2 children, leaving 2 children not identified in a supervisory 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: Observed a cracked lid on the water table which creates a sharp corner and a pinch point in the young toddler room.

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: At approximately 9:30 a.m., observed two older toddlers who were alone at the sink in the bathroom adjacent to the classroom. Staff person #1, who was the staff person assigned responsibility for the toddlers, was diapering another child inside of the older toddler classroom. Staff person #1 was not able to see, direct, or assess the two children who were in the bathroom.

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: Observed an inaccessible tube of desonide cream in the older toddler room which lacks written consent for administration.

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

Noncompliance Area: Observed accessible dishwasher powder, a bottle of Spic n Span and Dawn dish detergent, all labeled 'keep out of the reach of children' under the kitchen sink. Observed accessible toothpaste which is labeled 'keep out of the reach of children' in a cubby in the lobby area.

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 an unlabeled spray bottle of cleaner in the preschool room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed a cupboard door with a missing knob, causing the sharp tip of the wood screw to be accessible to children in care in the older 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 exposed bolts in the far left and right corners of the small yard and one exposed bolt on the gate in the small yard.

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 Pack `n Plays in the infant room were numbered, but there was no chart to identify who was assigned to each Pack `n 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: The refrigerators in the toddler room and in the preschool room did not have 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: The toddler room lacks a posted schedule of daily activities and routines

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

Noncompliance Area: The emergency contact information in the file for child #1 did not include the phone number for the child's physician and the emergency contact information in the file for child #3 did not include the complete address for 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: The emergency contact information in the file for child #3 did not include the work name and complete address for the child's mother.

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

Noncompliance Area: The emergency contact information in the file for child #1 did not include the health insurance name and policy number under which the child is covered and the emergency contact information in the file for child #2 did not include the health insurance policy number under which the child is covered.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The emergency contact information in the file for child #1 did not include the complete address for the individuals designated by the parent to whom the child may be released. The emergency contact information in the file for child #2 and #3 did not include an address for the individuals 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: The only health form in the file for child #4 was dated more than 60 days after the childs first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The last two health reports in the file for child #5, an infant, were dated more than 6 months apart.

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: The last two health reports in the file for child #2, an older toddler, were dated more than 12 months apart.

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: The health report in the file for child #1 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.

Noncompliance Area: Observed a child's toothbrush stored in a plastic bag in the preschool bathroom.

Correction Required: Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Noncompliance Area: The file for staff person #1 contains staff health assessments which were undated in an interval which exceeds 24 months.

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: There was an unlabeled bottle on the sink and several unlabeled bottles in the refrigerator in the infant room.

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

Noncompliance Area: The written update by a parent on the emergency contact information and the agreement form in the file for child #2 and #4 were dated more than 6 months apart.

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 an accessible electrical outlet in the hallway outside the office and an accessible outlet in the unlocked storage room in the small yard which lack protective receptacle covers.

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

Noncompliance Area: Observed accessible bleach under the sink in the kitchen.

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 sharp plastic fence ties along the fence in the small yard.

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: The sink in the infant room lacks a hand washing sign.

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

Noncompliance Area: Observed a loose hinge on a child's play pantry in the preschool room. Observed a crack in the plastic kitchen sink in the preschool room. Observed a shelf in the toddler room which was unanchored. Observed several exposed bolts along the fence in the small and large outdoor play space. Observed vinyl siding on the back of the building in the small outdoor space which had a hole.

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 files for child #3 and child #4 contain agreements which lack the operator's signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The file for child #1, child #2, child #3 and child #5 lack child service reports. Child #1, #2, #3 and child #5 have been enrolled for more than 6 months.

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: The file for child #1 contains emergency contact information which lacks the name, address and telephone number of the child's medical professional.

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: The file for child #1 and child #3 contain emergency contact information which lack the work address 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: The file for child #2 and child #3 contain emergency contact information which lacks health insurance coverage and a policy number. The file for child #1, child #4 and #5 contains emergency contact information which lacks 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: The file for child #1, child #2 and child #4 contain emergency contact information which lacks the address of the release person(s).

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file for child #1, child #2, child #4 lack health reports. Child #1, child #2 and child #4 have been enrolled more than 60 days.

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: Observed an epi-pen which lacks its original container and written instructions for administration.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: Observed an expired bottle of cold medication in the facility's medication box and an expired tube of teething gel in the young toddler room.

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

Noncompliance Area: The health assessment in the file for staff person #3 and #9 did not include an examination for communicable disease and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

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.

Noncompliance Area: The file for child #1, child #2, child #3 and child #5 contain emergency contact information and agreements which were updated in intervals which exceed 6 months.

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: The file for staff person #1 and #2, who are both assigned the position of assistant group supervisor, lack verification of child care experience since initial employment at the facility, which help qualify them for the position.

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

Noncompliance Area: The file for staff person #4 and #5 included one written nonfamily reference dated beyond the staff person's initial employment.

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 file for staff person #3 and #9 included evidence of training regarding the facility's emergency plan was dated beyond initial employment.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: The file for staff person #11 lacks verification of 6 hours of child care training in the past service year.

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

Noncompliance Area: On 02/08/17, Staff person #1, who identified herself as a co-director, has a facility file which lacks a state police clearance. Staff person #2, who identified herself as a co-director, has a facility file which lacks a state police, child abuse and FBI clearance and verification of current mandated reporter training. The file for staff person #1, hired 12/15/16 and beyond their provisional period, included a state police clearance that was missing grades and dispositions, and an FBI clearance indicating that a record exists, but did not include a rap sheet, making both clearances unacceptable. The staff person will be removed from their child care position until a valid state police and FBI fingerprinting clearance is reviewed and accepted by OCDEL. The file for staff person #4, hired 7/6/16, staff person #5, hired 12/6/16, and staff person #11, hired 2/12/17, all staff who were hired provisionally, did not include proof of fingerprinting at hire. All 4 files now include a valid FBI clearance. The file for staff person #9, hired 10/20/16 and beyond their provisional period, included a volunteer child abuse clearance. The operator immediately printed a new child abuse clearance for the staff person for employment purposes and placed it in their file. The file for staff person #4, #5, #8 and #9 include mandated reporter training dated beyond their provisional period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff person #5 and #10, who are both assigned the position of assistant group supervisor, lack verification of two years' experience with children to qualify for the position. Both staff must be treated as aides and must be directly supervised by a staff person qualifying as at least assistant group supervisor.

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

Noncompliance Area: Observed accessible toothpaste in the hallway bathroom.

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

Noncompliance Area: A bottle of unlabeled cleaner was observed in the closet in the infant 2 room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The first aid kit in the infant 2 room lacks gloves. The first aid kit in the toddler room lacks soap.

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

Noncompliance Area: On two occasions, fire drills were held in an interval which exceeds 60 days.

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

Noncompliance Area: The file for staff person #1 contains a health assessment which was completed more than 24 months ago. The file for staff person #2 contains a health assessment and results of TB testing which were completed after initial employment in a child care taking role.

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

Noncompliance Area: The file for staff person #2 contains a health assessment which lacks a physician`s or CRNP`s assessment of the person`s suitability to provide child care.

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

Noncompliance Area: The file for staff person #2 lacks one written, non-family 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