Chris Jazz Christian Academy

Noncompliance Area: DURING THE UNANNOUNCED MONITORING VISIT ON 10/28/20, THE REFRIGERATOR DID NOT HAVE AN OPERABLE THERMOMETER.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING VISIT ON 10/28/20, THE PROVIDER DID NOT HAVE EMERGENCY CONTACT INFORMATION FOR ANY OF THE CHILDREN SHE HAS ENROLLED.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING VISIT ON 10/28/20, IT WAS OBSERVED THAT THE CHILD CARE SPACE WAS BEING USED FOR STORAGE OF AN AIR CONDITIONING UNIT, SHEET ROCK, A MOP AND CONTRUCTION MATERIAL.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING VISIT ON 10/28/20, THERE WERE 3 ELECTRICAL OUTLETS IN THE CHILD CARE SPACE THAT DID NOT HAVE PROTECTIVE RECEPTACLE COVERS. THIS IS CONTINUED NONCOMPLIANCE FROM THE UNANNOUNCED MONITORING VISIT ON 3/12/20.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING VISIT ON 10/28/20, THERE WERE DEAD ROACHES IN AND OUTSIDE OF THE FACILITY.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: During unannounced inspection on 01/17/2020, file of staff person #2 did not contain health assessment completed within the last year that included physical examination and TB test showing staff person was suitable to provide child care. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection on 01/17/2020, file of staff person #2 did not include verification of 2 years previous child care experience to qualify for position performing (Primary Staff Person).

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

Noncompliance Area: During unannounced inspection on 01/17/2020, file of staff person #2 did not include two written family references to attest to staff persons suitability; file contained one written 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: During unannounced visit on 01/17/19, file of staff person #2 did not contain completed PA State Police clearance, PA Child Abuse clearance, completed FBI clearance, NSOR verification letter, and/or verification of completed mandated reporter training. THIS IS CONTINUED NON COMPLIANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: STAFF PERSON #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY. 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. STAFF PERSON #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

Noncompliance Area: During unannounced inspection on 01/17/2020, staff person #2 was observed working alone with 7 children, ages 4 months to 8 years old for approximately 10 minutes until staff person #1 arrived and one child left. THIS IS CONITNUED NON COMPLIANCE.

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 at 3280.52(b). THE REQUIRED STAFF:CHILD RATIOS MUST BE MAINTAINED AT ALL TIMES.

Noncompliance Area: During unannounced inspection on 01/17/2020, hot water temperature in bathroom accessible and used by children measured 138 degrees Fahrenheit. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection on 12/04/19, play pens used as rest equipment for infant and three year old in care were not labeled for individual use .

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: During unannounced inspection on 12/04/19, health assessment on file for staff person #3 did not answer questions #2 and #3 to indicate if the staff person was free from communicable disease and suitable 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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: During unannounced inspection on 12/04/19, file of staff person #3 did not contain verification that emergency plan training had been completed at time of initial hire.

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: During unannounced inspection on 12/04/19, files of staff person #1 and #2 did not contain completed PA State Police clearances. Staff person #1 file did not contain request for, nor completed clearance; file of staff person #2 contained letter that clearance could not be processed because of incorrect money order. THIS IS CONTINUED NON COMPLIANCE

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. STAFF PERSON #1 AND #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY. 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. STAFF PERSON #1 AND #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

Noncompliance Area: During unannounced inspection on 12/04/19, staff person #2 was observed with 5 children, ages 6 months, 3 years old, 5 years old, 5 years old and 6 years old. The correct staff: child ratio is 1:4. THIS IS CONTINUED NON COMPLIANCE

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 at 3280.52(b). THE REQUIRED STAFF: CHILD RATIOS MUST BE MAINTAINED AT ALL TIMES.

Noncompliance Area: During unannounced inspection on 12/04/19, hot water temperature at sink in bathroom located in child care space and accessible to children measured at 129 degrees Fahrenheit. THIS IS CONTINUED NON COMPLIANCE

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

Noncompliance Area: During unannounced inspection on 12/04/19, outlet plate was not present on outlet located near entry door.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: During unannounced visit on 10/17/19, files of staff person #1 and #2 did not contain completed PA State Police Clearance. THIS IS CONTINUED NON COMPLIANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: STAFF PERSON #1 and #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY. 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. STAFF PERSON #1 and #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

Noncompliance Area: During unannounced inspection on 10/17/19, staff person #2 was observed working alone with 5 children, the youngest was 2 months old and the oldest was 7 years old. THIS IS CONTINUED NON COMPLIANCE.

Correction Required: A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in 3280.52(b) or (c) requires a second or third staff person. 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). THE REQUIRED STAFF: CHILD RATIOS MUST BE MAINTAINED AT ALL TIMES.

Noncompliance Area: During unannounced inspection on 10/01/19, provider did not demonstrate that the interconnected smoke detector system was operable because one smoke detector was not present and another did not contain batteries due to repairs that had been made to ceiling.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The agent of the Department will file a complaint with the appropriate municipal office to request an additional fire safety inspection by the appropriate agency to verify compliance with 34 Pa. Code 403.23 and per Chapter 20.35(c).

Noncompliance Area: During unannounced inspection on 10/01/19, files for staff person #1 and #2 did not contain completed PA State Police clearance. THIS IS CONTINUED NON COMPLIANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). STAFF PERSON #1 and #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY. 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. STAFF PERSON #1 and #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

Noncompliance Area: During unannounced inspection on 10/01/19, staff person #2 was observed working alone with 6 children: 1-6 months,1- 2 years, 3- 3 year olds, and 1- 4 year old. The correct staff: child ratio was 1:4

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 at 3280.52(b). THE REQUIRED STAFF: CHILD RATIO MUST BE MAINTAINED AT ALL TIMES.

Noncompliance Area: During unannounced inspection on 10/01/19, hot water temperature in bathroom in child care space measured 122 degrees Fahrenheit. This bathroom is used by children to wash hands. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection 08/12/19, children were being served Ramen noodles. THIS IS CONTINUED NON COMPLIANCE.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Noncompliance Area: During unannounced inspection on 08/12/19, file of staff person #1 did not include signed and dated Disclosure statement; files of staff persons #1 and #2 did not contain requests for nor completed PA State Police Clearances. THIS IS CONTINUED NON COMPLIANCE.

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. STAFF PERSON #1 AND #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

Noncompliance Area: During unannounced inspection on 08/12/19, hot water temperature in bathroom in child care space exceeded required 110 degree temperature. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection on 06/26/19, file of child #1 did not contain a health report that reviewed the child's health history. File only contained a review of child's immunization status. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection on 06/26/19, file of staff person #1 did not contain a physical examination showing staff person was suitable to provide child care. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection on 06/26/19, file of staff person #1, hire date 04/20/19, did not contain completed nor request for PA State Police clearance or signed disclosure statement; file of staff person #2 did not contain completed PA State Police or FBI Clearance, nor signed disclosure statement. File of staff person #2 contained receipt for FBI clearance dated 05/30/2019. THIS IS CONTINUED NON COMPLIANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: STAFF PERSONS #1 and #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. STAFF PERSON #1 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

Noncompliance Area: During unannounced inspection on 06/26/19, outlet plate was missing from outlet near entry door. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection on 06/26/19, water temperature in bathroom measured 128.3 degrees Fahrenheit. This bathroom is located in the child care space and is used by children to wash hands. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During unannounced inspection on 06/26/19, first aid kit did not contain gauze pads. THIS IS CONTINUED NON COMPLIANCE.

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 renewal inspection on 05/16/19, there was no health assessment, including immunization status, on file for child #1. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During renewal inspection on 05/16/19, Child Care Facility license issued by City of Philadelphia to owner had expired 02/28/18 and been inactive since 04/29/18.

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.

Noncompliance Area: During renewal inspection on 05/16/19, files of staff person #1 and #2 did not contain health assessment that included physical examination showing staff was suitable to provide child care.

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

Noncompliance Area: During renewal inspection on 05/16/19, file of staff person #2 did not have verification on file that staff person received TB test at initial employment and subsequent results. THIS IS CONTINUED NON COMPLIANCE.

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.

Noncompliance Area: During renewal inspection on 05/16/19, children were not served meal for lunch that consisted of the 4 food groups. Children present were served ramen noodles for lunch.

Correction Required: If a child receives care for 4 or more consecutive hours, nutritional, appropriately-timed meals and snacks shall be served. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

Noncompliance Area: During renewal inspection on 05/16/19, children were not served meal for lunch that consisted of the 4 food groups. Children present were served ramen noodles for lunch.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Noncompliance Area: During renewal inspection on 05/16/19, file of staff person #2 did not contain 6 hours of annual child care training. Training on file was from 2017. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During renewal inspection on 05/16/19, file of staff person #1, did not contain signed disclosure statement, request for nor completed PA State Police clearance, or completed FBI Clearance. File for staff person #2 did not contain completed PA State Police clearance, receipt on file stated "REQUEST UNDER REVIEW", nor did file have completed FBI clearance. THIS IS CONTINUED NON COMPLIANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: STAFF PERSON #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY. 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. STAFF PERSON #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

Noncompliance Area: During renewal inspection on 05/16/19, protective receptacle outlet covers were missing from outlets located in area by front door and a power strip laid across the radiator in front area near owners desk.

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

Noncompliance Area: During renewal inspection on 05/16/19, hot water in bathroom measured 134.9 degrees Fahrenheit. This bathroom is located in child care space and is used by children to wash hands. THIS IS CONTINUED NON COMPLIANCE.

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

Noncompliance Area: During renewal inspection on 05/16/19, first aid kit was located on lower shelf of owner's desk, accessible to children.

Correction Required: A first-aid kit shall be inaccessible to children.

Noncompliance Area: During renewal inspection on 05/16/19, first aid kit was missing the following items: gauze pads and soap. THIS IS CONTINUED NON COMPLIANCE.

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 renewal inspection on 05/16/19, the following was observed: missing ceiling tiles in front and rear of facility. In rear of facility the ceiling tiles missing were large, some were not in place properly and there was an exposed wire visible; stained ceiling tiles were located in the front of the facility over the microwave and table in the child care space; two 32 in televisions were present in the child care space, one in the front entrance area leaned on a radiator , the second across from the bathroom leaned on top of a desk, neither television was mounted and secured and posed a potential risk to children as a tipping hazard; there was no outlet cover over the outlet located by the front door posing a potential hazard to children; loose molding was observed on the corner wall next to the owners desk; there were several long nails sticking out the window frame and chipped paint around the window located above the radiator were the television was leaned against.

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

Noncompliance Area: During the inspection on 12/6/18 the rest equipment that was observed was not labeled for individual 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 no thermometer in the facility's refrigerator.

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

Noncompliance Area: During the inspection on 12/6/18 children were present alone with person #3 from 10AM- 10:15 AM. Person #3 is not a facility or staff person, and there was no file present for person #3.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. An individual record is required for each facility person.

Noncompliance Area: Agreements found in child records #2, 3, and 5 did not specify the fee amount, and or the date the fee was 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: Agreements found in child records #1, 2, 3, 4, 1nd 5 did not specify the services that are provided, and did not include the child's departure and or arrival time.

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).An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Agreements in child records #1, 2, 3, 4, and 5 did not specify the date of admission, and in records #1, 2, 3, and 4 did not specify to whom the child can be released.

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

Noncompliance Area: Emergency contact forms in child record #4 did not include a health insurance policy number, and in child records #2, 3, 4 did not include the address of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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 information in child records 2, and 3 did not include the enrolling parents work address, and work phone number, and in child records #1, 2, 3, and 4 did not include the emergency contact's name, address, and or phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 inspection on 12/6/18 a health assessment was not found in the file for child #1. Child #1 has been enrolled at the facility since 7/25/18

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

Noncompliance Area: A review of the health reports found in child records #2, and 3 did not include a review of the child's health history.. The only information found was an immunization history.

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

Noncompliance Area: The file for staff person #1 did not include an up to date health assessment. The health assessment on file was dated 12/2/2015.

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: A review of the health assessment found in the file for staff person #2 did not show proof of screening for 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.

Noncompliance Area: During the inspection on 12/6/2018 children who had been in care for at least four hours were placed down for nap at 12:30PM. These children had not been fed lunch.

Correction Required: If a child receives care for 4 or more consecutive hours, nutritional, appropriately-timed meals and snacks shall be served.

Noncompliance Area: During the inspection on 12/6/18 the owner was not able to show proof of comprehensive liability insurance.

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: During the inspection on 12/6/18 the operator was unable to produce the letter which should be sent annually to the local authority giving notice of the facility's safe pedestrian , and vehicular routes.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: During the inspection on 12/6/18 a copy of the facility's current certificate of compliance, and a copy of regulations Chapter 3280 was not observed posted in the facility.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: A review of staff files on 12/6/18 did not show proof that staff persons #1, and 2 had six hours of annual child care training.

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

Noncompliance Area: During the inspection on 12/6/18 staff files for staff persons #1, and 2 were found to lack FBI clearances. During this same inspection facility person #3 was observed alone with the children from 10:00 AM to 10:15 AM, and had no clearances on file at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490.LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 1, 2, 1nd 3 -- may not work in a child care position at the facility. 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 Persons #1, 2, and 3 --- may not work in a child care position at the facility.

Noncompliance Area: During the inspection on 12/6/18 current proof of first aid training was not found in any of the staff files reviewed.

Correction Required: 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: During the inspection on 12/6/18 six children were observed receiving care. This group included 2 young toddlers, 2 older toddlers, 1 preschooler, and 1 young school age child. Based on the ages of the children present another staff person in addition to staff person #2 needed to be present.

Correction Required: A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in 3280.52(b) or (c) requires a second or third staff person. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During the inspection on 12/6/18 the hot water in the bathroom designated for use by the children measured at 121 degrees.

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

Noncompliance Area: The first aid kid did not contain scissors or 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 inspection on 12/6/18 the fire drill log that was observed shows that the most recent fire drill was held on 7/22/18.

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