Charlotte Mullins

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the file did not include an annual emergency drill log.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walkthrough and there was damaged plaster in the ceiling in between the main childcare space and the kitchen area.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection the certification representative viewed the children's files child #1, #2, #3, #4 were missing child service reports in the file.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection the certification representative viewed the children's files child #5 was missing the physician's address and the physician phone number 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.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection the certification representative viewed the children files, child # 5 was missing the policy number on the emergency contact form.

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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection the certification representative viewed the children files child # 5 was missing the release person address and phone number 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.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: During the renewal inspection the certification representative viewed the children files children #2, was missing an updated emergency contact and updated financial agreement in the file.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection the certification representative viewed the children's files, child # 4 was missing shot records in the file.

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

Regulation: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: During the renewal inspection the certification representative. viewed the required paperwork the shaken baby policy did not include child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: During the renewal inspection the certification representative requested to view the letter to the local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility, but it was unable to be viewed at the time of the inspection.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and requested to see the pick- up- drop off procedures but was unable to do so at the time of the inspection.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection the certification representative viewed the required documents and requested to view the emergency drill. It was unable to view at the time of the renewal inspection.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection the certification representative viewed the staff files staff # 4 was missing a health and safety certificate in the file.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3280.31(f)(10)

Description: Age and training

Noncompliance Area: During the renewal inspection the certification representative viewed the staff files staff # 1 CPR was not PQAS certified staff #2 and #3 did not have a current CPR in the file.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection the certification representative viewed the staff files, staff # 1 was missing a current FBI clearance in the file one if the file expired 1/1/25. The NSOR clearance was also expired 2/10/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and observed peeling paint on the purple wall near bathroom area.

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

Regulation: 3280.131(d)(5)/3280.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection the certification representative viewed the children's files children #1, #2 and #4 were missing updated shot records in the file with no letter of exemption in the file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: During the renewal inspection the certification representative viewed the emergency plan and did not see the plans for continuity of care.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: During the renewal inspection the certification representative requested to view the written letter to the local traffic authorities of the facility's safe routes.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and did not see the pick-up and drop off procedures posted.

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

Regulation: 3280.192(4)

Description: CPSL information

Noncompliance Area: During the renewal inspection the certification representative viewed the staff files staff # 2 was missing the criminal results in the file.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a childcare position at the facility.

Regulation: 3280.192(4)

Description: CPSL information

Noncompliance Area: During the renewal inspection the certification representative viewed the household member clearances household members #1, #2 and #3 were all missing disclosures in the file.

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

Regulation: 3280.26(a)(1)/3280.26(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the renewal inspection the certification representative viewed the emergency plan did not address both shelter in place and lockdown. The plan did not address the accommodation for infants to be taken out of the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and observed Lysol on the bathroom sink.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through while observing the water temperature it was observed that the water was over 110 degrees.

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

Regulation: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the renewal inspection the certification representative attempted to open the door that leads to the play space and was unable to open the back exit door that leads into the play space and also serves as a fire exit due to a problem with the lock.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, the emergency contact form of child #1 did not include their health insurance coverage and 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.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection conducted on 8/15/23, instructions for contacting the appropriate regional office was not posted.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: Certification rep reviewed child#1 file and observed the arrival and departure time was missing on the fee agreement form.

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

Regulation: 3280.124(b)(4)/3280.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Certification reviewed child#1 file and observed parent signature was missing for the child to obtain emergency medical care on the emergency contact form.Certification rep reviewed child#1 file and observed parent signature for emergency medical care consent was missing prior to child admission on the emergency contact form.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Certification rep reviewed child#1 file and observed parent signature was missing for administration of minor first aid by facility staff on the emergency contact form.

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

Regulation: 3280.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Certification rep reviewed child#1 file and observed parent signature for consent for transportation, walking excursions, swimming and wading was missing on the emergency contact form.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: ON 9/25/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF TB SCREENING AND RESULTS FOR STAFF #2.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON 9/25/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THERE WAS NO INDICATION ON THE HEALTH ASSESSMENT FORM THAT THERE WAS AN EXAMINATION FOR COMMUNICABLE DISEASES OR THE PHYSICIAN'S ASSESSMENT OF STAFF'S SUITABILITY TO PROVIDE CHILD CARE FOR STAFF #1.

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: ON 9/25/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THERE WAS NO FBI CLEARANCE FOR STAFF #2. THERE WAS NO DOCUMENTATION OF THE REQUIRED CPSL TRAINING FOR STAFF #1.

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: ON 6/19/19 DURING THE RENEWAL INSPECTION, THE CHILD SERVICE REPORTS FOR CHILD #2, #4 AND #5 WERE NOT DATED, AND THERE WAS NOT INDICATION THAT THE CHILD SERVICE REPORTS WERE BEING DONE EVERY 6 MONTHS.

Correction Required: An agreement shall specify 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 at 3280.124(f).

Noncompliance Area: ON 6/19/19 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION OF CHILD #2, #4, AND #5 DID NOT CONTAIN COMPLETE HEALTH INSURANCE INFORMATION.

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: ON 6/19/19 DURING THE RENEWAL INSPECTION, THE MOST RECENT EMERGENCY CONTACT INFORMATION ON FILE FOR CHILD #3 WAS DATED 6/6/18. THE FEE AGREEMENT FOR CHILD #5 WAS NOT DATED.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: ON 6/19/19 DURING THE RENEWAL INSPECTION, THERE WAS NO HEALTH ASSESSMENT OR IMMUNIZATION RECORD ON FILE FOR CHILD #1 (ENROLLMENT DATE 12/5/18).

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

Noncompliance Area: ON 6/19/19 DURING THE RENEWAL INSPECTION, THE MOST RECENT HEALTH ASSESSMENT ON FILE FOR CHILD #5 WAS DATED 4/21/18.

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: ON 6/19/19 DURING THE RENEWAL INSPECTION, THE IMMUNIZATION RECORD ON FILE FOR CHILD #2, #3, AND #5 WAS NOT IN ACCORDANCE WITH THE ACIP, AND THERE WERE NO EXEMPTION LETTERS ON FILE.

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.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: ON 6/19/19 DURING THE RENEWAL INSPECTION, THE TRASH CAN IN THE BATHROOM, WHERE DIAPERING OCCURS, WAS NOT PROPERLY WORKING MAKING IT NOT "HANDS-FREE".

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: ON 6/19/19 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF A HEALTH ASSESSMENT COMPLETED FOR STAFF #2 (HIRE DATE 11/13/18).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON 6/19/19 DURING THE RENEWAL INSPECTION, THERE WAS NO INDICATION THAT THE EMERGECY PLAN HAD BEEN REVIEWED ANNUALLY.

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.

Noncompliance Area: ON 6/19/19 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION THAT STAFF #1, #2, #3 AND #4 HAD BEEN TRAINED ON THE EMERGENCY PLAN IN THE PREVIOUS YEAR .

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.

Noncompliance Area: ON 6/19/19 DURING THE RENEWAL INSPECTION, STAFF #5 HAD A DEPT OF ED FBI CLEARANCE AND IS REQUIRED TO HAVE THE DEPT OF HUMAN SERVICES (DHS) FBI 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: In review of children records, child 2 and 3 emergency contact and record failed to contain 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 must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: In review of children records, child 1 emergency contact failed to have designated release person's address.

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: In review of children records, emergency contacts and fee agreements failed to be updated within 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: In review of children records, child 1 and 3, booth preschool age, failed to have updated health report completed within 12 months. Child 1 health report was last completed on 05/13/17 and child 3 health report was last completed on 12/05/16

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: During renewal inspection on Friday, 06/01/18, provider did not have a copy of facility's liability insurance on file.

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

Noncompliance Area: In review of children records, child 2 and 3 records failed to contain written consent signed by a parent for facility staff to administrate minor first-aid.

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

Noncompliance Area: In review of children records, child 2 and 3 records failed to contain signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: In review of staff records, staff persons 3 and 4 failed to have verification of child care experience in record. Staff person 3 failed to have verification of education such as high school diploma, degree or transcripts contained in record.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: In review of staff records, staff persons 3 and 4, both provisional employee, failed to have copy of signed disclosure statement contained in file. Staff person 3, whom was hired on 04/30/18, failed to have receipt for FBI and child abuse clearance request contained in file. Staff person 4 failed to have completed mandated reporter training.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: In review of staff records, staff persons 3 and 4 records did not contain two 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

Noncompliance Area: In review of staff records, staff persons 3 and 4 failed to have verification of age in record.

Correction Required: A staff person shall be 18 years of age or older. A facility person's record shall include verification of age.

Noncompliance Area: In review of staff records, staff persons 1 and 2 failed to have completed required six hours of annual training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training .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: Facility's first-aid kits used in main childcare space and first-aid kit used for excursions were missing tape.

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: During the renewal inspection a 4 month old infant did not have age-appropriate rest equipment to sleep in. The rest equipment did not have 2 feet of space on three sides while they were in 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.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 the renewal inspection there was a staff person who was sleep on the floor inbetween two cots while the children were napping leaving only 1 other staff person supervising the children in the facility.

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: During the renewal inspection the emergency contact for child#2 did not have the information on the child's special needs and the release persons address on file.

Correction Required: Emergency contact information must include information on the child`s special needs, as specified by the child`s parent, physician, physician`s assistant or CRNP, which is needed in an emergency situation.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: During the renewal inspection child #1 did not have the emergency contact and the financial agreement updated at least once in a 6-month period on file. Child #2 did not have parental consent for emergency medical care 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. A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: During the renewal inspection child#2 did not have parental consent on file for administration of medications, special dietary needs and administration of minor first-aid on file.

Correction Required: A child`s record must contain signed parental consent for administration of medications or special dietary needs.A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During the renewal inspection child #2 did not have parental consent on file for transportation, walking excursions, swimming and wading on file.

Correction Required: A child`s record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During the renewal inspection there were 14 children being cared for in the facility at one time. There were 2 staff person in the facility. One of the staff persons was sleep inbetween the cots on the floor with the children and had to be awaken by the other person. The youngest child in the group was 4 months old.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.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 at 3280.52(b).

Noncompliance Area: During the allocated unannounced inspection staff #1 took a child into the bathroom and was not able to see the rest of her class sitting at the table.

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.