Bumblebee Preschool

Noncompliance Area: Toy chest in the play room was observed to have a broken lid, causing rough edges and pinch points.

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: File for Children # 1 and # 2 do not contain Child Service Reports completed every 6 months. Child # 1 began at facility on 2/20/19, there is not a Child Service Report in file. Child # 3 had a Child Service Report completed on 7/15/19, this was the only one in file, child began at facility on 10/24/18.

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: Emergency Contact Form for Child # 2 did not contain name, address and telephone number of 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: Emergency Contact Form for Children # 1 and # 3 did not contain 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: Emergency Contact Form for Child # 1 did not contain the address and telephone number for 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: File for Child # 1, who is a young toddler did not contain a health assessment updated every 6 months Last health assessment is dated 2/26/19.

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: Diaper cream was located in a drawer accessible to children in the Infant Room.

Correction Required: 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: File for Children # 1 and # 2 did not have Emergency Contact Form and Fee Agreements reviewed and updated every 6-months. Last update for Child # 1 was dated 2/20/19. Updates for Child # 2 were dated 10/9/18 and 7/5/19.

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: Emergency Contact Form for Child # 1 did not contain signed parental consent for the administration of minor first-aid by facility staff.

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

Noncompliance Area: During Renewal Inspection it was observed that the Exit sign were not lit and the kitchen fire extinguisher was inoperable.

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

Noncompliance Area: Facility has 2 staff persons and neither of them are competence in First-aid.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: File for Staff # 1 did not contain updated clearances. State Police clearance expired 10/16/18, Child Abuse expired 10/11/18 and FBI expired 12/5/18.

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: First-aid kit in the Infant Room was missing scissors and was observed on a low shelf, accessible to children.

Correction Required: A first-aid kit must be inaccessible to children. 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: Plastic bags were observed under the changing table in the bath room, accessible to children. Rubber gloves were observed on the counter in the bathroom, accessible to children.

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: Fee Agreement for Child # 4 did not specify the amount of the fee to be charged and the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Files for Children # 2, # 3 and # 4 did not contain Child Service Reports completed every 6-months. Child # 2 began at facility on 10/2/17, file does not contain a Child Service Report. Child # 3 began on 1/25/15, file only contains one Child Service Report dated 7/12/18. Child # 4 began on 10/2/17, there are no Child Service Reports in file.

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

Noncompliance Area: Diaper creams were observed in a drawer of the changing table in the Infant room, accessible to children.

Correction Required: 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: Diapering area in the Infant Room did not contain a hands free lidded trash can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Files for Staff # !, # 2 and # 3 did not contain current health assessments. Health assessment for Staff # 1 in file is dated 5/16/16, Staff # 2 in file was dated 10/29/15 and Staff # 3 in file was dated 8/24/16.

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

Noncompliance Area: Files for Children # 1, # 2 , # 3 and # 4 did not contain Emergency Contact Form and/or Fee Agreements updated every 6-months. Child # 1 last update for Fee Agreement was 8/9/16, Child # 2 Emergency Contact and Fee Agreement last update was 9/27/17, Child # 3 Emergency Contact Form and Fee Agreement last update was 7/14/17 and Child # 4 Emergency Contact Form and Fee Agreement last update was 9/27/17.

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: Emergency Plan was not reviewed annually by provider. Files for Staff # 1 and # 2 did not contain verification of Emergency Plan Training.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.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: Files for Staff # 1 and # 3 did not contain verification of an annual minimum of 6 clock hours of child care training.

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

Noncompliance Area: Facility has not had Fire Safety Training by a fire safety professional annually.

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

Noncompliance Area: Staff # 1 and # 3 have not had staff evaluations, staff # 1 began 10/2014 and staff # 2 began 11/2015.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Electrical outlets in the school age area were missing protective covers.

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

Noncompliance Area: In the play room, two gift sets of body wash and lotion were observed in reach of children. Body wash and body oil were observed in the infant room on the bottom shelf of the changing table, in 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: First-aid kit was located in the bathroom, this is the only first-aid kit in the facility.

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

Noncompliance Area: Wallpaper in the bathroom was observed to be peeling.

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 verification visit to facility on 11/20/17 Cert rep. observed three portable space heaters being used at facility

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: Cert rep. went to facility on 10/30/17 and observed two staff with a total of sixteen children that included ten preschool/school-age children, three young toddlers, two older toddlers and an infant

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: During unannounced inspection on 10/3/17 to verify corrections for renewal inspection Cert rep. observed a 5 month old infant sleeping in a carrier

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: Facility person #2 has a criminal clearance and child abuse clearance on file dated from 2008 and does not have a signed disclosure statement on file. A current FBI clearance is on file. Facility person #2 does not have mandated reporter training completed and has worked at the facility for more than 90 days. Her date of hire is listed as 4/8/2008, however she was not listed on the facility staff sheet for last year's renewal inspection completed on 8/8/16. Her child abuse and state police clearances are from 2008 and are more than five years old. Facility person #3 has a date of hire listed as 7/10/17 and does not have a signed disclosure statement on file. There is no paper work on file to verify that the child abuse clearance has been sent for or that she registered and had been fingerprinted for the FBI clearance. Facility persons #2 and #3 must be removed from child care service until all required paper work is on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) . LACKING REQUIRED HIRING DOCUMENTS AND PROVISIONAL HIRES UNSUPERVISED TIERED IS: The legal entity/director must attend an Exisitng Provider Orientation Class which is held at the Northeast Regional Day Care Office.

Noncompliance Area: There is no documentation on file to verify that the cribs located in the facility meet the required CPSC safety standards

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: There are items that are less than an inch in diameter (i.e. paper clips and staples) accessible to children under three years old on a shelf located in the main child care space

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: There is a bed that is located in the infant room and the sheets on the bed are not clean

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

Noncompliance Area: The mats and the cribs in the facility are not labeled for use by a specific child

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: There was a child sleeping in a pack-n-play located in the main child care room that did not have two feet of space on three sides

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: During inspection visit on 7/21/17 Cert rep. observed a 10 month old infant asleep in a small adjoining room off of the main child care space without the staff person being physically present in the small room. Two staff were in the main child care space with seven napping children. Facility person #2 was responsible for the supervision of the infant and was not physically present in the small room with the infant.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children by a PQAS certified instructor. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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: Child files #2 and 3 are missing the names of release persons on the fee agreements

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

Noncompliance Area: Child file #3 does not have the name, phone number and address of the child's physician listed on the emergency contact form

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: Child file #2 does not have the addresses of the release persons on the emergency contact form

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

Noncompliance Area: The facility does not have a written feeding schedule from the parent for child #3, an infant

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

Noncompliance Area: Child fiile #1 does not have an updated emergency contact form or fee agreement on file

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: There is no documentation on file to verify that staff have been trained in regards to the emergency plan

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

Noncompliance Area: None of the staff working at the facility, facility persons #1, 2 and 3, have current first-aid certification

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: Facility person #2 has a criminal clearance and a child abuse clearance on file dated from 2008 and does not have a signed disclosure statement on file. A current FBI clearance is on file. Facility person #2 does not have mandated reporter training completed and has worked at the facility for more than 90 days. Her date of hire is listed as 4/8/2008, however she was not listed on the facility staff sheet for last year's renewal inspection completed on 8/8/16. Facility person #3 has a date of hire listed as 7/10/17 and does not have a signed disclosure statement on file. There is no paper work on file to verify that the child abuse clearance has been sent for or that she registered and had been fingerprinted for the FBI clearance. A criminal clearance is on file. Facility persons #2 and #3 must be removed from child care service until all required paper work is on file. There were times when facility persons #2 and 3, provisional hires, were watching a total of eight children without be supervised by facility person #1, who was the only staff qualifed to be left alone with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) . LACKING REQUIRED HIRING DOCUMENTS AND PROVISIONAL HIRES UNSUPERVISED TIERED IS: The legal entity/director must attend an Exisitng Provider Orientation Class which is held at the Northeast Regional Day Care Office.

Noncompliance Area: There are diaper ointments and wipes laying on top of bed located in the infant room accessible to children

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

Noncompliance Area: The first-aid kit located in the bathroom is missing 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.