Children Of America Southampton Llc

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: During complaint investigation it was verified staff #1 yelled directly in Child #1 face repeatedly and forcibly push the child away from her while telling the child to "stop yelling at her." Staff #1 continued forcibly pushing Child #1 and then pulled the child's shirt up over the head before walking away and asking another staff member to assist with changing the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During a complaint investigation it was found Staff #1, #2, #3 and #4 did not provide a private system for children to change their clothes that is appropriate, allows for privacy and supervision of the children.

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. THE REGIONAL OFFCIE WILL PUT IN A REFERRAL WITH THE REGIONAL KEY FOR ALL STAFF TO RECIVE SUPERVISION TRAINING.VERIFICATION WILL BE SUBMITTED TO THE REGIONAL OFFICE ONCE ALL STAFF HAVE COMPLETED THE TRAIINING.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #1 record and observed NSOR clearance in record was expired.

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 # 1may not work in a child care 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 child care position at the facility.

Regulation: 3270.76/3270.82(i)

Description: Building Surfaces/Lidded waste receptacles

Noncompliance Area: During complaint investigation certification representative observed the following Preschool 1: Floors and rugs were visibly unclean. Preschool 2: Floors, rugs, and bathroom were observed to be visibly unclean; A bottle was observed on the floor beneath a table unclean and trash can was observed without a lid.

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. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: During the renewal inspection certification rep observed child #1, #2, #3 and #4 in their crib napping on boppy pillows during nap time in the infant room.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff #1 spanked the child #1 on buttocks while taking the child to the bathroom with pants and diaper still on.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During complaint investigation certification rep verified staff #1 and #2 left behind child #1 outside on the playground unsupervised.

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.

Regulation: 3270.192(2)(iv)/3270.192(5)

Description: Transcript, diploma and letters/Two written references

Noncompliance Area: Certification rep reviewed staff #3, #4 and #5 record and observed staff #4 and #5 did not include acceptable verification of experience. Staff #4 and #5 records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #4 record did not include High School Diploma.

Correction Required: 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. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21/3270.31(f)(10)

Description: General Health and Safety/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Certification rep reviewed staff #1 record and observed staff #1 and #3 did not obtain pediatric first aid and pediatric cardiopulmonary resuscitation training. Staff #1 and #3 was observed working alone with children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 and #3 will have until 9/4/24 to complete the required training. Until such time as the required training has been completed, staff person #1 and #3 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #3, staff person #1 and #3 may not work in a child-care position at the facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff #1 grabbed/ moved child's legs forcibly during diapering changing procedure.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Staff #1 spoke/interacted with children angrily using harsh language.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection certification rep did not observe a thermometer in the refrigerator in the Infant B classroom.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Certification rep reviewed staff #1,2,3,4,5,6, and #7 record and observed verification of employment not in record prior to service at the facility.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Certification rep reviewed staff #6 record and observed date of tb test read missing on the physical examination form.

Correction Required: 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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of renewal inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in Pre-K B and Infant A rooms.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: At the time of renewal inspection, emergency contact information for child #1, #2, and #3 had not been updated every 6 months as required.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: At the time of renewal inspection, file of child #4 did not include an updated health report required at least every 6 months. Child health report on file was dated 7/11/22.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection, file of staff person #1-10 did not include Pennsylvania health and safety 1 hour professional development training update required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: At the time of renewal inspection, an adult health assessment of staff person #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At the time of renewal inspection observed that emergency information was not updated in each child care space. Each classroom had emergency contact forms that were dated more than 6 months ago.

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

Regulation: 3270.182(5)

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

Noncompliance Area: Emergency contact form of child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of renewal inspection record of 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection there were no written documentation that emergency drill was conducted annually.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, PA State police clearance of staff person #4 was not complete and did not include record for control number.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 4 must be removed from child care position by close of business. Complete PA State Police Clearance must be obtained before facility person #4 may resume a child care position.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at each sink and /or diapering area in Twos, Pre-K A, Toddlers A, Pre-K B, Preschool II, Preschool I, and Infant A rooms.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #5 and #6 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(e)

Description: Updated every 6 months/Emergency master file updated

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #10 was not update by parent in writing once in a 6-months period. Emergency contact information of child #10 was last update on 9/7/21. At the time of renewal inspection observed that emergency information was not updated in each child care space. Each classroom had emergency contact forms that were updated by parents more than 6 months ago.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At the time of renewal inspection, immunization record of child #6, #7, #8, #9, and #10 did not include influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #6, #7, #8, #9, and #10 .

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment was not observed.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of renewal inspection, file of staff person #4 did not include a written report of initial health assessment including the results of initial tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: At the time of renewal inspection, a health assessment on file for staff person #11 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of renewal inspection, a written infant meal statements and feeding schedule obtained from the parents were not observed for child #1, #2, #3, and #4 in the Infant B Room.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed. Last letter to the local traffic authorities was dated 4/5/17.

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 child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of renewal inspection, file of staff person #2, #3, #4, #6, #9 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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that a copy of the emergency plan was not sent to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)/3270.31(e)(1)(ii)

Description: Age and Training/Age and Training

Noncompliance Area: At the time of renewal inspection, file of staff person #5, #8, #10, and #11 included certificates from training conducted by Southampton Admin, who is not licensed or certified professionally in the training topic. File of staff person #5, #8, #10, and #11 did not include 12 annual hours of child care training conducted by the entity that is licensed or certified professionally competent in the training topics.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included child abuse clearance for volunteer purpose, file of staff person #2 did not include NSOR certificate, file of staff person #4 did not include Disclosure Statement and PA Child Abuse clearance.

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

Regulation: 3270.36(b)(3)/3270.192(2)(ii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: At the time of renewal inspection, file of staff person #1 did not include verification of experience with children required for the position of an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At the time of renewal, file of staff person #2, #3, #4, #7, #9 did not include verification of experience with children required for the position of an assistant group supervisor.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of renewal inspection observed Airwick Room Spray located on the shelf near the bathroom in Pre-K B room that was accessible to children. The label on the spray stated " Keep out of 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection observed one section of vinyl baseboard near the bathroom in Preschool 3 room missing exposing old dry adhesive. This section of the wall is accessible to children and is a visible 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of renewal inspection, provider was not able to provide proof of purchase and date of purchase of an interconnected fire detection system.

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

Noncompliance Area: During allocated unannounced inspection on 10/8/19 observed ripped changing mat with an exposed foam in Toddler B room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: During allocated unannounced inspection on 10/8/19, file of staff person #1 did not include a health assessment conducted within 12 months prior to providing service in a child care setting.

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: During allocated unannounced inspection on 10/8/19, a health assessment of staff #2 and #3 did not include the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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: During allocated unannounced inspection on 10/8/19 observed two bottles that were not labeled with the child's name in Toddler A room.

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

Noncompliance Area: During allocated unannounced inspection on 10/8/19, file of staff person #1, #2, #3 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: During unannounced allocated inspection on 10/8/19, file of staff person #1 and 3 did not include verification of experience required for the position of an assistant group supervisor.

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

Noncompliance Area: During allocated unannounced inspection on 10/8/19 observed an outlet in Pre-K B room without protective receptacle covers.

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

Noncompliance Area: During allocated unannounced inspection on 10/8/19 observed toxic hand sanitizer located on the changing tables in Toddler A and Infants B rooms. Hand sanitizers were 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: During the complaint investigation on 8/6/19 it was verified that staff #1 was telling child #1 that he will get "a pow pow" for misbehaving, which refers to a tap on his bottom.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Noncompliance Area: During renewal inspection on 4/15/19, file of child #1 (young toddler) didn't include an updated health report. Last health report was dated 5/18/18.

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: During renewal inspection on 4/15/19, health assessment of staff person #1 was conducted on 3/25/17 and was more than 24 months old.

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: During renewal inspection on 4/15/19, two bottles in Toddler B classroom were not labeled with children's names.

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

Noncompliance Area: During renewal inspection on 4/15/19, some emergency contact forms were not updated in classroom Two's, Preschool I, and Preschool II.

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

Noncompliance Area: During renewal inspection on 4/15/19, emergency contact information of child #2 and #3 didn't contain parental consent for emergency medical care and for administration of minor firs-aid procedures by facility staff. Both consents are required prior to admission.

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

Noncompliance Area: During renewal inspection on 4/15/19, a first-aid kit in Two's classroom didn't contain tweezers and scissors, a first-aid kit in Preschool II classroom didn't' contain tweezers, scissors, and gloves, a first-aid kit in Pre-K 2B classroom didn't contain tweezers.

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

Noncompliance Area: ON 4/10/18, AFTER REVIEW OF 3 OF 4 INFANT'S INDIVIDUAL DAILY DOCUMENTATION WHICH INCLUDED TIMES OF DIAPER CHANGES AND NAPS, WET/SOILED DIAPERS WERE NOT BEING CHANGED AT LEAST EVERY TWO HOURS IN THE INFANT A CLASSROOM. CHILD #1 DIPAER CHANGE WAS OCCURED AT 10:22AM. THE NEXT DIAPER CHANGE OCCURED AT 1:42PM (CHILD #1 NAPPED UNTIL 1:03PM). CHILD #2 DIAPER CHANGE OCCURED AT 8:16AM. THE NEXT DIAPER CHANGE OCCURED AT 10:52AM. CHILD #3 DIAPER CHANGE WAS RECORDED 9:36AM. THE NEXT DIAPER CHANGE OCCURED AT 12:22PM (CHILD #3 WOKE UP FROM NAP AT 11:55AM).

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: ON 3/22/18, A BROKEN WHITE BASKET FILLED WITH SOFT BLOCKS WAS OBSERVED ON A SHELF IN THE OLDER TODDLER ROOM. ADDITIONALLY, A HIGH CHAIR WITHOUT A T-SHAPED SAFETY STRAP WAS OBSERVED IN THE INFANT B CLASSROOM.

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. High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: ON 3/22/18, AN INFANT WAS OBSERVED SLEEPING IN A CRIB THAT DID NOT HAVE AT LEAST 2 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: ON 3/22/18, AN EPIPEN OBSERVED IN THE MEDICINE BOX DID NOT CONTAIN THE ORIGINAL PRESCRIPTION CONTAINING THE CHILD'S NAME.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. 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.

Noncompliance Area: ON 3/22/18, AN UPDATED HEALTH ASSESSMENT WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #13 (LAST HEALTH ASSESSMENT DATED 10/30/15) AND STAFF #14 (LAST HEALTH ASSESSMENT DATED 10/7/15.

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 3/22/18, THE HEALTH ASSESSMENT OBSERVED IN THE FILE BELONGING TO STAFF #5 (DATED 7/8/17) DID NOT ADDRESS COMMUNICABLE DISEASES AND THE PHYSICIAN'S ASSESSMENT OF THE PERSON'S SUITABLILITY TO PROVIDE CHILD CARE.

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

Noncompliance Area: ON 3/22/18, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #11 CHANGE A DIAPER IN THE INFANT A CLASSROOM. UPON FINISHING THE DIPAER CHANGE, STAFF #11 DID NOT WASH HER OWN HANDS PRIOR TO PICKING UP ANOTHER CHILD.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: ON 3/22/18, THREE BOTTLES OBSERVED IN THE INFANT A CLASSROOM WERE NOT LABELED WITH THE CHILD'S NMAE. .

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

Noncompliance Area: ON 3/22/18, UPON REVIEWING RANDOM EMERGENCY CONTACT FORMS IN THE CLASSROOM BINDERS, UPDATED EMERGENCY CONTACT FORMS WERE NOT OBSERVED IN THE CHILD CARE SPACES WHERE CHILDREN WERE RECEIVING CARE. AN UPDATED EMERGENCY CONTACT FORM WAS NOT OBSERVED IN THE MASTER FILE BELONGING TO CHILD #2 (LAST UPDATE WAS DATED 1/4/17). ADDITIONALLY, AN UPDATED FINANCIAL AGREEMENT WAS NOT OBSERVED IN THE FILE BELONGING TO CHILD #1 (DATED 6/2/17).

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

Noncompliance Area: ON 3/22/18, WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE AND ADMINISTRATION OF MINOR FIRST AID WAS NOT OBSERVED ON THE EMERGENCY CONTACT FORMS BELONGING TO CHILD #1 AND CHILD #3.

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

Noncompliance Area: ON 3/22/18, NO EVIDENCE OF VERIFICATION OF EDUCATION WAS OBSERVED IN THE FILE BELONGING TO STAFF #1 (HIRED 11/17/17). NO EVIDENCE OF VERIFICATION OF 1 YEAR EXPERIENCE (1250 HOURS) WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #15 IN ORDER TO QUALIFY HER AS AN AGS.

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: ON 3/22/18, TWO LETTERS OF WRITTEN REFERECES WERE NOT OBSERVED IN THE FILES BELONGING TO STAFF #1, #2, #3, #4, #5 AND #6.

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: ON 3/22/18, ONE HOUR OF CHILD CARE TRAINING WAS OBSERVED IN THE FILES BELONGING TO STAFF #7 AND STAFF #16. THREE HOURS OF CHILD CARE TRAINING WAS OBSERVED IN THE FILES BELONGING TO STAFF #12, STAFF #13 AND STAFF #14. FOUR HOURS OF TRAINING WAS OBSERVED IN THE FILE BELONGING TO STAFF #11. FIVE HOURS OF TRAINING WAS OBSERVED IN THE FILE BELONGING TO STAFF #9, #10, AND #17.

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

Noncompliance Area: ON 3/22/18, STAFF #8 WAS OBSERVED WORKING ALONE IN THE PK B CLASSROOM. NO EVIDENCE OF FBI CLEARANCE WAS OBSERVED IN THE FILE BELONGING TO STAFF #8 (HIRED 6/5/17). STAFF #8 HAS EXHAUSTED THE 90 DAY PROVISIONAL PERIOD. ADDITIONALLY, NO PA CRIMINAL CLEARANCE WAS OBSERVED IN THE FILE BELONGING TO STAFF #1 (HIRED 11/17/17).

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 and #8 -- may not work in a child care position at the facility. A facility person's record shall include a copy of the completed clearance information required under the CPSL.

Noncompliance Area: ON 3/22/18, NO EVIDENCE A GROUP SUPERVISOR EMPLOYED AND PRESENT AT THE FACILITY FOR A MINIMUM OF 30 HOURS PER WEEK FOR EACH GROUP AND PARTIAL GROUP OF 45 CHILDREN WAS OBSERVED ON FILE AT THE FACILITY. ON THE DAY OF THE INSPECTION, 75 CHILDREN WERE RECEIVING CARE AT THE FACILITY REQUIRING A MINIMUM OF TWO QUALIFIED GROUP SUPERVISORS.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.Each additional group supervisor shall be employed by and be present at the facility for a minimum of 30 hours per week.

Noncompliance Area: ON 3/22/18, STAFF #1, STAFF #2 AND STAFF #5 ARE QUALIFIED AS AIDES. DURING REST TIME, STAFF #1 WAS OBSERVED IN THE OLDER TODDLER ROOM ,STAFF #2 WAS OBSERVED IN THE YOUNG TODDLER ROOM, AND STAFF #5 WAS OBSERVED IN THE PS1 ROOM UNSUPERVISED BY A PERSON QUALIFIED AT MINIMUM AS AN ASSISTANT GROUP SUPERVISOR.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: ON 3/22/18, CLEANING MATERIALS WERE OBSERVED ON A SHELF ACCESSIBLE TO CHILDREN IN THE BATHROOM LOCATED IN THE INFANT C CLASSROOM.

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: ON 3/22/18, NO EVIDENCE OF FIRE DRILLS CONDUCTED AT LEAST EVERY 60 DAYS WAS OBSERVED ON FILE AT THE FACILITY. THE LAST FIRE DRILL LOGGED ON FILE WAS DATED 6/13/17.

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. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: ON JUNE 12, 2017 DURING THE UNANNOUNCED VISIT, THERE WERE 19 CHILDREN PRESENT IN THE PRE-K CLASSROOM, STAFF PERSON # 1 IDENTIFIED 9 CHILDREN AND STAFF PERSON # 2 IDENTIFIED 5 CHILDREN LEAVING 5 CHILDREN UNACCOUNTED FOR.

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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THERE WERE 14 CHILDREN PRESENT IN THE PRE-K CLASSROOM, STAFF PERSON # 7 IDENTIFIED 8 CHILDREN AND STAFF PERSON # 3 IDENTIFIED 5 CHILDREN LEAVING 1 CHILD UNACCOUNTED FOR. THERE WERE 14 CHILDREN PRESENT IN THE PRESCHOOL 2 CLASSROOM, STAFF PERSON # 5 IDENTIFIED 7 CHILDREN AND STAFF PERSON # 8 IDENTIFIED 6 CHILDREN LEAVING 1 CHILD UNACCOUNTED FOR.

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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1, # 4 AND # 6 DID NOT SPECIFY THE AMOUNT OF FEE TO BE CHARGED.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT REVIEWED FOR 7 OUT OF 7 CHILDREN DID NOT SPECIFY THAT FAMILIES WILL BE PROVIDED INFORMATION ABOUT THE CHILD'S GROWTH AND DEVELOPMENT IN ACCORDANCE WITH THE UPDATES REGARDING EMERGENCY CONTACT INFORMATION IN THE CONTEXT OF THE SERVICES PROVIDED.

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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVEIWED FOR CHILD # 1 AND # 7 DID NOT INCLUDE THE ADDRESS OF THE DESIGNATED RELEASE PERSON.

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

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF AN UPDATED HEALTH REPORT WITHIN A 6-MONTH PERIOD FOR CHILD # 2 AND # 5.

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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THERE WAS SIPPY CUPS NOT LABELED WITH THE CHILD'S NAME IN THE CUBBIES IN THE TWO YEAR OLD CLASSROOM.

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

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, WRITTEN NOTIFICATION OF SAFE ROUTES WERE NOT POSTED.

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

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THE FIRST-AID KIT IN THE SCHOOL BUS USED TO TRANSPORT CHILDREN DID NOT CONTAIN SCISSORS, TWEEZERS, SOAP OR WATER.

Correction Required: 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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 WAS NOT UPDATED IN A 6-MONTH PERIOD.

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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF AN ACCIDENT FILE ESTABLISHED AT THE FACILITY.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF FIRE SAFETY TRAINING IN A 12-MONTH PERIOD FOR STAFF PERSON # 5.

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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 HIRE DATE 8/31/16, DID NOT CONTAIN A COPY OF THE PA CRIMINAL CLEARANCE AS REQUIRED UNDER CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care 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 # 2 may not work in a child care position at the facility.

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A WRITTEN EVALUATION IN A 12-MONTH PERIOD FOR STAFF PERSON # 5.

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: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION,THE RECORD REVIEWED FOR STAFF PERSON # 4 DID NOT INCLUDE EDUCATION AND TRAINING TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. (ASSISTANT GROUP SUPERVISOR)

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

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ON THE PURPLE BACK WALL IN PRESCHOOL 2B CLASSROM

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

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION,STAFF PERSON # 6 DID NOT WASH HER HANDS AFTER DIAPERING A CHILD. HANDWASHING SIGNS WITH THE WRITTEN REQUIREMENT WERE NOT POSTED AT THE SINK OR TOILET IN THE BATHROOM IN THE PRESCHOOL 2B CLASSROOM, OR THE DIAPERING AREA IN THE TWOS CLASSROOM AND THE INFANT CLASSROOM.

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

Noncompliance Area: ON MAY 16, 2017 DURING THE RENEWAL INSPECTION; A SOURCE OF RUNNING WATER WAS NOT PRESENT NEAR THE DIAPERING AREA IN THE INFANT CLASSROOM. THE BATHROOM NEAR THE AREA WAS BEING USED FOR STORAGE.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: At the time of the incident on 4/3/17 staff number 1 did not adequately supervise child #1 resulting in injury.

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: Parent of child #1 did not receive an incident report on the day of the incident.

Correction Required: A child`s record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child`s file.

Noncompliance Area: Regional office was not notified after child 1 received emergency room treatment after incident on 4/3/17.

Correction Required: The operator shall immediately notify a child`s parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.