Bright Start Academy

Noncompliance Area: A written plan of daily activities was not posted in the infant group space.

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

Noncompliance Area: Adult scissors and batteries were observed in desk drawers in areas accessible to preschoolers. (CORRECTED ON SITE)

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: A sensory bin located in the school-age space was cracked/sharp (CORRECTED ON SITE). A changing pad in the infant room was torn and the foam was 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: At the time of inspection, plastic bags were being stored in an area accessible to toddlers (CORRECTED ON SITE).

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: At the time of inspection, the written plan of daily activities was not posted in the kindergarten child care space.

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

Noncompliance Area: According to documentation on file at the time of inspection, staff person child service reports(CSR) (Department's approved form) had not been completed every six months during the previous year for children 2-4. Children 2, 3, and 4 have all been enrolled for more than 12 month. They did not have any CSRs on file for the previous year.

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: At the time of inspection, the emergency contact form on file for child 2 did not list the addresses of four listed release persons.

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

Noncompliance Area: According to documentation on file at the time of inspection, the updated health assessment was not obtained within 6 months for child 1 (young toddler). The health assessment was updated on 11/1/19, and the previous health assessment was dated 12/5/18.

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 immunization records on file for child 2 were not in accordance with the schedule recommended by the ACIP. Documentation regarding child 2's annual flu vaccination was more than a year old.

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: A staff person was observed changing a toddler's diaper. The staff person did not ensure the child's hands were washed after being diapered. Prior to lunch in the preschool 4s room, the staff had the children wipe their hands by using bowl of soapy water instead of hand washing.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: According to documentation on file at the time of inspection, the following staff did not obtain health assessments timely, or their health assessments are past due to be updated. Staff person 2's most recent health assessment is more than 24 months old and is past due to be updated. The health assessment was dated 1/27/2017. Staff person 7's most recent health assessment is more than 24 months old and is past due to be updated. The health assessment was dated 6/19/2017. Staff person 3's most recent health assessment is more than 24 months old and is past due to be updated. The health assessment was dated 1/30/2017. Staff person 5 has been employed since 10-22-2019. The health form on file was not obtained within the 12 months prior to employment (dated 11-22-19), but the form states a health assessment wasn't done. Staff person 8 began employment on 8-27-2019. Her record did not include a health assessment at the time of inspection (CORRECTED ON SITE). Staff person 10 has been employed since 6-10-19. Her record did not include an initial health assessment.

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.

Noncompliance Area: In the two year old child care space, potentially hazardous (ex. dairy products) food brought from the child's home was stored in lunch boxes with ice-packs instead of being refrigerated.

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

Noncompliance Area: Bottles in the infant room were not labeled with the name of the child (CORRECTED ON SITE). The facility had a bottle they used in-case parents forgot to bring them for their child. The bottle was not being washed in a commercial dishwasher, and was not a disposable nurser.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: At the time of inspection, the operator stated she had not send the required annual letter to the local traffic safety authorities

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: At the time of inspection, staff person 4 was serving as an assistant group supervisor. The record not include documentation of her high school diploma. At the time of inspection, staff person 8 was serving as an assistant group supervisor. Her record did not include the necessary documentation of education and experience.

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: At the time of inspection, the record for staff person 8 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: According to documentation on file at the time of inspection, staff person 1 has only obtained 3 clock hours of child care training during the previous year.

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

Noncompliance Area: Staff person 6 has been employed for more than a year. The facility was unable to provide documentation that she had participated in fire-safety training during the previous year.

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: According to documentation on file at the time of inspection, staff person #4 was hired 10-28-2019. Upon beginning work in the facility, her record did not contain a completed DHS FBI clearance, nor the clearances for the state in which she had resided in during the previous 5 years (Michigan) which is all information required under the CPSL. Her record did not contain a copy of the requests for the clearances from Michigan, nor documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. According to documentation on file at the time of inspection, staff person #8 was hired provisionally on 8-27-2019. Her provisional hire period was over on 11-23-2019 and her record did not include a completed DHS FBI clearance. She was still working at the time of inspection. (CORRECTED ON SITE) According to documentation on file at the time of inspection, staff person 9 began employment on 3-25-19. Her record did not include the proper PA State police clearance. The incorrect page had been printed (CORRECTED ON SITE) According to documentation on file at the time of inspection, staff person 10 began employment on 6-10-19. Her record included a Department of Education FBI clearance (with rap sheet) in-lieu of the required DHS FBI clearance. Staff person 10 did not have complete clearances on file and has been left alone with children in her care. Staff person 10 has been employed for more than 90 days. She did not have a DHS approved mandated reporter training on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 4, and 10 may not work in a child care position at the facility. 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: A bottle of hand sanitizer was observed hanging off of a staff bag in an area accessible to the children in the preschool 3s classroom (CORRECTED ON SITE). A container of air freshener (labeled keep out of the reach of children) was observed in a drawer that was accessible to children in the preschool 4s classroom (CORRECTED ON SITE). A spray bottle of cleaning material located in the ones was not labeled (CORRECTED ON SITE).

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.

Noncompliance Area: The first aid kits located in preschool 3s, preschool 4s, and the green van did not include all of the required items. Preschool 3 was missing gloves and gauze. Preschool 4 was missing tape. The van's first aid kit was missing gloves.

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. 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: A section of the fence around the playground was loose and a rusty screw was exposed (CORRECTED ON SITE). A section of the wire fencing was broken and sharp (on the side near the building).

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: Small areas of paint were peeling in the preschool 3s 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: At the time of the follow up visit for the renewal inspection, infants were observed sleeping in cribs that had less than 2 feet of space on three sides of the rest equipment. (CORRECTED ON SITE)

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: At the time of the follow up visit for the renewal inspection, an infant was observed sleeping propped up in a bouncy seat that was placed in the infant's crib. (CORRECTED ON SITE)

Correction Required: 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: At the time of the follow up visit for the renewal inspection, it was observed that emergency contact forms located in the child care spaces had not been updated after being updated in their master (office) file.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: At the time of the follow up visit for the renewal inspection, a preschool teacher was observed alone in a child care space with 11 preschool aged children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: At the time of inspection, the following was observed: On the playground, two Little Tykes outdoor climbers had cracks in the plastic, and a large crate holding the outdoor blocks had multiple sharp screws exposed. A trash can (used by the children) was broken/cracked and there were sharp edges on the plastic. A vinyl couch located in the preschool room was torn and the foam was exposed (CORRECTED ON SITE). Toy bins and a toy helmet located in the pre-k classroom had cracks in the plastic. (CORRECTED ON SITE)

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 the time of inspection during naptime in the pre-k classroom, children were observed napping with less than 2 feet on 3 sides of their rest equipment.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: At the time of inspection, the refrigerator in the pre-k classroom was dirty/sticky.

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: At the time of inspection in the preschool classroom, the staff were able to identify which children they were responsible for, but they were not physically present with the children in their group. One of the three staff persons took 4 children to the bathroom, and 5 children remained in the room. When the 2 remaining staff were asked which children they were each responsible for, only 4 of the 5 children present in the room were accounted for. The staff persons present also claimed responsibility for some of the children that were in the bathroom.

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 the time of inspection, the agreements on file for children 2 and 4 did not include 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: At the time of inspection, the record for child 1 included just 1 of the 2 required child service reports (CSRs) from the past year. The record for child 5 included CSRs, but they were not completed every six months (dated 11/2017, then 11/2018).

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: At the time of inspection, the agreement on file for child 5 did not specify the child's arrival and departure times.

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

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 2 did not include the name, address, and telephone number of the child's physician or source of medical care.

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: At the time of inspection, the emergency contact information on file for child 4 did not include written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: At the time of inspection, the emergency contact information on file for children 1-5 did not include complete health insurance information. The forms for children 1 and 3 did not include health insurance and policy number. The forms for children 2, 3, and 5 did not include 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: At the time of inspection, the emergency contact information on file for child 1 did not include the address of one of the listed release persons.

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

Noncompliance Area: At the time of inspection, the record for child 1 did not include any health reports. The child has been attending since November of 2017. The record for child 2 included a health assessment which was dated more than 60 days after his enrollment date. The child's first day of attendance was listed as 2-12-2018, and the health assessment was dated 12/10/2018.

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: According to documentation on file at the time of inspection, the following staff health assessments were not obtained timely. -Staff person 3's most recent health assessment on file is past due to be updated (obtained 2/10/16). -The initial health assessment and TB test on file for staff person was 1 not dated within the 12 months prior to initial service (start date 7/3/18, health/TB dated 7/23/2018). -The initial health assessment and TB test on file for staff person 2 was dated more than 12 months prior to initial service, and is therefore not valid (start date 11/5/18, health/TB dated 5/27/17). -The initial health assessment and TB test on file for staff person 5 was dated more than 12 months prior to initial service, and is therefore not valid (start date 8/28/18, health/TB dated 6/19/17).

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.

Noncompliance Area: According to documentation on file at the time of inspection, emergency contact forms and financial agreements have not been updated timely over the past 12 months. The emergency contact on file for child 1 was most recently signed in March of 2018 (past due). Child 1's agreement was updated after a period of 6 months (11/2017, then 10/2018). The emergency contact and agreement on file for child 2 were updated after a period of 6 months (1/2018, then 8/2018). The emergency contact and agreement on file for child 3 were updated after a period of 6 months (3/2018, then 11/2018). The emergency contact on file for child 5 was most recently signed in March of 2018 (past due). Child 5's agreement was updated after a period of 6 months (11/2016, then 10/2018).

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: At the time of inspection, the emergency contact information located in the classrooms had not been updated after the most recent file updates had been completed in the office.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: At the time of inspection, the record for staff person 6 did not include sufficient documentation of her child care experience. (CORRECTED ON SITE) Staff person 1 is serving as an assistant group supervisor and has been alone in classrooms with children. Her record does not include sufficient documentation of education and/or experience needed to serve as an assistant group supervisor.

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: At the time of inspeciton, the record for staff person 9 included just one written, non-family reference. The record for staff person 2 did not include any 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

Noncompliance Area: According to documentation obtained and on file at the time of inspection, staff person 4 has completed just 5 of the 6 required annual training hours.

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

Noncompliance Area: According to documentation on file at the time of inspection, it has been more than a year since staff person 4 has received 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: According to documentation on file at the time of inspection, staff persons 1, 5, 6, 7, and 8 did not have proper clearance information on file either at the time of hire or at the time of inspection. -Staff person 1 began employment on 7/3/2018. Her file did not include a completed DHS FBI clearance at the time of hire, and she was not fingerprinted for her FBI clearance until 7/19/2018. This documentation is required for provisional hiring under the CPSL. -Staff person 5's state police (CORRECTED ON SITE) and child abuse clearances on file were "Volunteer" clearances (not the requirement employment clearances). -Staff person 6's FBI clearance was incomplete as it did not include the rap sheet (CORRECTED ON SITE). -Staff person 7 began employment on 6/18/18. Her file did not include a completed criminal history (state police) clearance until 7/3/18, nor documentation that the clearance had been filed for by hire date. This documentation is required for provisional hiring under the CPSL. -Staff person 8's record did not include an FBI clearance, and she was beyond her 90 day provisional hire period (start date of 8-27-2018). She was observed working in a classroom on the day of inspection. A Department of Education FBI clearance was obtained and documentation has been provided that she has been fingerprinted for the appropriate clearance.

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: At the time of inspection, an electrical outlet at the end of a strip of christmas lights was not covered with a outlet cover. (CORRECTED ON SITE)

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

Noncompliance Area: At the time of inspection, the sanitizer in the toddler room was not labeled (CORRECTED ON SITE).

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 the time of inspection, the first aid kit located in the pre-k classroom did not include tweezers (CORRECTED ON SITE)

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: At the time of inspection, the follow was observed: The playground fence was in poor repair. Multiple areas of the fence wire were broken and facing in towards the playground, the fence posts were loose enough that the fence was able to sway back and forth, and there was an exposed screw. The shelves in the pre-k room were dusty. An electrical cord was laying loose on the floor about a foot away from the wall in a walking area (creating a tripping hazard).

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: At the time of inspection, an area of peeling paint/plaster was observed in the pre-k classroom. Peeling paint was also observed in the downstairs hallway (outside of the infant/toddler child care spaces).

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

Noncompliance Area: According to documentation on file at the time of inspection, fire drills were not held every 60 days during the past year. Fire drills took place on 11/17/2017, 8/10/2018, and 10/30/2018.

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: At the time of the complaint investigation on 8/2/2018, it was revealed that a lapse in supervision of child 1 occurred on 7/25/2018. Staff person 1 was the primary care provider for child 1. When child 1 absconded from the classroom, an employee from an outside agency that was working with the child had to leave the room and get him to return to the classroom. The child was able to get outside two separate times before he was returned to the classroom. Per conversation with staff person 2, staff person 1 was reportedly unaware that child 1 was not physically present with her in the child care space. Once the child had returned to the classroom, staff person 1 proceeded to take her group of children she was responsible for on a walk, and chose to leave child 1 in the classroom with the employee from the outside agency. She did not communicate with management what was occurring. Per staff person 3, child 1 was without supervision of a staff person of the facility for a period of 10 minutes.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: During the complaint investigation, staff persons verified that on March 12th, and March 13th, the children enrolled in the facility were moved from the child care space within the facility (due to the heat being out) and into unlicensed space within the church. The space had not been inspected and was not on the facility's capacity.

Correction Required: A facility shall provide indoor child care space for individual and group small muscle activity. 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: During the complaint investigation, a staff person admitted that on 3/13/2018, child 1 (preschooler) was able to get into an unsafe space (the kitchen) multiple times throughout the morning. A working stove and toxic cleaning materials were observed in the kitchen space.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: During the complaint investigation, a staff person stated that on 3/13/2018, child 1 (preschooler) was able to get into an unsafe space (the kitchen) multiple times throughout the morning and the staff present failed to assess the situation and make the area inaccessible to the child. The child ended up getting injured while in the kitchen.

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: At the time of inspection, the following items were observed: A vinyl blue seating cushion in the pre-k classroom was torn and the inner foam was exposed. The changing table in the toddler classroom was fraying on the edges. A desk drawer in the preschool classroom was broken/sharp. A fabric covering on a reading bench in the pre-k classroom was torn. A multi-colored vinyl floor mat in the 1s and 2s classroom was observed to be torn on the edges and foam was 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: At the time of inspection, a piece of embedded outdoor equipment was observed. It was anchored firmly into the ground, but it was not over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: At the time of inspection, the written plan of daily activities was not posted in the pre-k/k classroom space, (CORRECTED ON SITE)

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

Noncompliance Area: Upon review of the children's records, it was observed that the financial agreements on file for children 1 and 4 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: At the time of inspection, the most recent child service report on file for children 5 and 7 were completed more than 6 months ago during May of 2017.

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: At the time of inspection, the most recent health assessment on file for child 1 (preschool aged) was dated 7-5-16.

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: At the time of inspection, a bottle of children's Tylenol and a bottle of children's ibuprofen were observed to be stored in a desk drawer in an area accessible to the children. Neither bottle was labeled with the name of the child for whom the medication was intended for. (CORRECTED ON SITE)

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Upon inspection, two Epi-pens were observed to be stored in a pre-k classroom. Both Epi-pens were stored in the same box (not original to either Epi-Pen), both Epi-Pens had expired, and they were for two separate children. The facility was unable to provide documentation of written parental consent for administration of the medications for either child.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: At the time of inspection, the most recent health assessment on file for staff person 8 was dated 9-30-2015, indicating more than 24 months have lapsed since the last health assessment was obtained.

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: Upon review of the children's records, it was observed that more than 6 months had lapsed between updates for emergency contact forms and financial agreements on file for children 1-3, and 5-7.

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 2 was being used as an assistant group supervisor (had worked alone in the classroom with children), but only had documentation of 1,014 hours of experience working with children (2,500 required). At the time of inspection, the record for staff person 7 did not include documentation of her experience working with children.

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: The record for staff person 4 included just one 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: At the time of inspection, the facility's current certificate of compliance, the regulations, and the contact information for the appropriate regional day care office were not posted in a conspicuous location used by the parents. (CORRECTED ON SITE)

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: At the time of inspection, the records for staff person 6 & 9 did not include documentation of being training on the emergency plan in the past 12 months.

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 files for staff persons 1, 2 and 5 did not include documentation of completion of the required Mandated Reporter training. All three staff persons have been employed for more than 90 days. The record for staff person 3 did not include a state police clearance, an FBI clearance, or the mandated reporter training. Staff person 3 had been employed more than 90 days, as her start date was listed as 6-22-17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, the following items were observed: There were multiple unlocked doors off of the school age classroom that led to potential hazards. One closet contained paint and other toxins/cleaning supplies, another door led to a room that contained paint and insulation laying on the floor, and the kitchen door was unlocked and contained a working stove and toxic cleaning materials. In the one and two year old classroom, diaper cream was observed to be stored in an area accessible to the children (underneath changing table was unlocked).

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: At the time of inspection, it was observed that the trash can on the facilities playground space had not been emptied in the past day.

Correction Required: Trash shall be removed from the facility at least once per day.

Noncompliance Area: At the time of inspection, multiple screens in the nursery were observed to be in poor repair.

Correction Required: Screens shall be in good repair.

Noncompliance Area: At the time of inspection, the following items were observed. Plastic weather window seal was observed to be torn in the infants room and in the nursery. A fabric blind in the nursery was observed to be torn. A baseboard strip was peeling off the wall in the school age classroom. A rug was fraying/torn in the school age classroom. A ceiling tile was missing and a light fixture was cracked in the 1 and 2 year old classroom. A unlocked drawer in an area accessible to the children in the 1 and 2 year old classroom contained a sharp kitchen knife, box cutters, adult scissors, and wire cutters. Loose floor tiles were observed in the nursery and pre-k classrooms. There were multiple areas on the outdoor fence where the fence wire was loose/separating and creating sharp projections. Multiple nails were exposed on the fence. A PVC pipe holding the sandbox cover on was protruding from the sandbox, creating a trip hazard. A large tree root was protruding upwards creating a trip hazard.

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 fire drill log presented at the time of inspection stated a fire drill was done on 11-2-16 and the next one was done more than 60 days later on 1-27-17.

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.