Christ Church Childrens Center

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: There was a lapse of greater than 60 months between FBI clearances for staff #1. One was dated 8/19/2020 and the next one was dated 2/3/2026.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent written evaluation for staff #2 was dated 1/28/25, a period of greater than 12 months.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: On 7/8/25 during an unannounced monitoring of swimming, medication was administered at the pool to child #1 an d #2, but the medication logs were not present at the pool.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 (see code sheet for hire date) has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but did not complete the required health and safety update course titled "Pennsylvania Health and Safety Update 2022" (1 hour) training within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS or above who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #2 had an FBI clearance that expired 10/22/19. At the time, she had a large laceration on her finger and could not be fingerprinted. The clearance was forgotten until 1/24/25 when she was removed from care until the clearance was obtained on 1/31/25.

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.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: Staff #3 did not have documentation on file to qualify for the stated position.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced swim check, the file of facility person #1 did not contain child abuse clearance as required. Facility person #1 may not work with children until required documentation is on file.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the young toddler room that the changing table mat contained a hole.

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.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: It was observed in the social hall that a schedule of current daily activities was not posted in this space.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: It was stated by facility staff in the infant room that some infants are laid to rest on their stomachs or sides and not placed on their backs to sleep.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact form for child #1 did not contain the child's health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #1 and #2, see code sheet for hire dates, both contained criminal history clearances with a pending record result; therefore a full and complete criminal history clearance was not found on file at the time of inspection for staff person #1 and #2.

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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first aid kit in the School Age #1 room was missing scissors.

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.

Regulation: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: File for staff person #1, employed as an aide, verified that they are not currently 18-years-old.

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/3/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 8/11/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, then staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the outdoor play space that the large plastic slide contained a hole causing a pinch point at the top of that slide.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in the young toddler room that plastic bags were accessible to mouthing children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: It was observed in van number 2 that tweezers were missing from the first aid kit.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Although staff person #1 currently has training on file dated 2/7/23, staff person#1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Although staff person #2 currently has training on file dated 2/6/23, staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics - the 1 hour revised training. Staff person #3-#6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics completed after 9/30/16.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3-#6 will have until 3/11/23 to complete the required training. Until such time as the required training has been completed, staff person #3-#6 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3-#6, then staff person #3-#6 may not work in a child-care position at the facility.

Regulation: 3270.76/3270.102(e)

Description: Building Surfaces/Infant/toddler - no material less than 1 inch

Noncompliance Area: It was observed that the temporary fencing, which had been placed around the toddler's outdoor play space to keep the toddlers from accessing the mulch on the preschool playground, was not in good repair.

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. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: It was observed that the letter provided to each enrolled family explaining the facility's emergency procedures did not contain the facility's lockdown procedure or accommodations that are made for infants, toddlers, and those with special needs. Children requiring those accommodations were observed in care at the time of inspection.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: It was observed that the number to the nearest hospital was not posted by each telephone in the facility

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: On 8/17/2020, the facility hosted a Pre-K graduation ceremony in which 4 staff were observed in photographs to be within 6 feet of another person and not wearing a mask or face covering during the ceremony. This is against the Pennsylvania Office of Child Development and Early Learning Bureau of Certification Services Announcement #C-20-08 "COVID-19 Operations for Licensed Child Care" stating that "Child care staff must wear face coverings indoors; they must also wear face coverings outside where staff are unable to maintain the 6-foot social distance, unless a medical reason prevents the staff from wearing a face covering."

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

Noncompliance Area: A handle on a cabinet in the large school-age classroom was observed to be loose, causing a pinch hazard. Additional handles on this same cabinet were also loose.

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: Marbles which were less than one inch in diameter were observed in a bin in the young toddler classroom. Also observed in this classroom in the cubbies were a plastic grocery bag containing paper towel rolls and a sleeve of diapers in a plastic bag. These items were all accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: Through a review of records, it was observed that the facility was keeping a copy of the child reports in the children's files and providing a copy to the parents, but was not maintaining a facility file of these reports.

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: A review of the fire drill log showed that fire drills went longer than the required 60-day limit from: 4/4/19-6/3/19, 6/3/19-8/2/19 and 8/2/19-10/2/19.

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

Noncompliance Area: On 7/1/2019, A small blue balance beam on the playground was observed to have peeling paint. A plan of correction was received stating that by 8/31/19, "The balance beam will be sanded so that the peeling paint will be removed. In the future, all equipment will be checked by the staff on a daily basis to make sure the equipment is in good repair." On 9/16/19, the balance beam was observed to have additional spots of peeling paint.

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: On 7/1/19, The new climber installed on the playground does not have at least 9" of mulch surrounding the equipment. Mulch was measured in multiple spots, but the deepest spot measured only contained 7" of mulch. Spots on the climber near the rock climbing wall were bare, and did not have any loose fill. A plan of correction was received stating that by 8/31/19, "In the future, at least 9" of mulch will surround all climbing equipment. Mulch will be ordered and added to the current playground." On 9/16/19, mulch had not yet been delivered, leaving the playground short of 9" of mulch, as originally observed.

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

Noncompliance Area: On 7/1/19, it was observed that the climbing equipment installed on the playground is required to be installed over loose fill ground cover, but there is not a barrier in place to prevent infants and toddlers receiving care and playing in the outdoor play space from gaining access to the small pieces of mulch less than 1" in diameter. A plan of correction was received stating that by 8/31/19, "A fence will be erected to prevent the infants and toddlers from being able to gain access to the mulch around the playground so that they cannot put small pieces of mulch in their mouth. We will ensure that the infants and toddlers do not have access to any objects that are less than 1" in diameter at all times." During an unannounced monitoring visit on 9/18/19, a barrier was not yet erected to prevent the infants and toddlers playing outside from having access to the mulch.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: A small blue balance beam on the playground was observed to have peeling paint. A sharp knife was observed in then unlocked drawer in the Foyer 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: The new climber installed on the playground does not have at least 9" of mulch surrounding the equipment. Mulch was measured in multiple spots, but the deepest spot measured only contained 7" of mulch. Spots on the climber near the rock climbing wall were bare, and did not have any loose fill.

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

Noncompliance Area: The climbing equipment installed on the playground is required to be installed over loose fill ground cover, but there is not a barrier in place to prevent infants and toddlers receiving care and playing in the outdoor play space from gaining access to the small pieces of mulch less than 1" in diameter.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: A letter from the physician of Child #1 was on file to indicate that the child should be placed in an elevated position, and a small wedge was observed in the child's crib, but a medical reason for the elevation was not indicated on the documentation.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Expired Up and Up cream (exp. 9/18) was observed in the Young Toddler classroom diaper cream basket. Expired Benadryl (exp 9/18) was observed in the School-Age classroom downstairs, and was indicated to have been given to a child on 6/26, 6/27 and 6/28.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Three red, non-refrigerated coolers were observed in the School-Age classroom downstairs, containing lunchboxes with perishable items such as cut fruit, pizza, cheese, and sandwiches containing lunch meat.

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

Noncompliance Area: The file for Staff #3, who began working for the facility on 7/2/19, did not contain a health assessment, TB testing results, or two written nonfamily references.

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.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: Staff #1, who began working at the facility on 6/17/19, and was observed working on 7/1/19, does not have an FBI, nor proof of FBI fingerprinting in the staff file. Staff #2, who began working at the facility on 6/3/19, did not have a signed disclosure statement on file for employment as of 7/1/19. Staff #3, who began working for and was observed working for the facility on 7/2/19, did not have a signed disclosure statement on file.

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 #1 may not work in a child care position at the facility until completed clearance paperwork is on file.

Noncompliance Area: The file for Staff #1 did not contain proof of education or experience prior to working at the facility to qualify as a staff at any level, but the staff person was indicated to be working as an aide.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A Eucerin cream and an Aquaphor cream, both labeled "Keep Out of Reach of Children," were observed in a diaper bag, in a low hanging area accessible to children in the Young Toddler classroom. Scope mouthwash labeled "Keep Out of Reach of Children," was observed on a low table in the Preschool classroom, 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: A clear cleaning bottle, identified by the staff to contain a bleach and water solution for cleaning, was unlabeled with the contents.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: A stained ceiling tile, indicating water damage, was observed in the boys' bathroom in the preschool classroom.

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: Three Angeles brand cubbies in the large School-Age classroom downstairs were observed to be unmounted, unsturdy, and able to be pulled down easily.

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

Noncompliance Area: The health assessment for Child #1 shows that the child, a one year old, has not yet received a flu vaccination, and there is no letter of exemption in the child's file from the parents. The health assessment for Child #2 shows that the last administered flu vaccine was on 10/26/16, and not completed annually in accordance with the schedule recommended by the ACIP. This child's file did not contain an exemption letter from the parent.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The diaper changing pad in the Young Toddler classroom was observed to be torn with the inside foam exposed, rendering the pad unable to be fully sanitized after each diaper change.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Staff #1 had a health assessment update that was completed more than 24 months after the previous exam. The previous health exam was completed on 4/5/16, but the update was not completed until 1/29/19.

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: The health assessment on file for Staff #2, dated 8/23/18, does not contain results regarding an exam for communicable disease or an 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.

Noncompliance Area: File for Staff #2 does not contain verification of age of the staff person.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: File for Staff #3 only contained one 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: A swiffer wet jet with the cleaning solution was observed in the Older Toddler classroom, and another was observed in the large School-Age classroom downstairs, stored in areas in both classrooms that are accessible to children. The cleaning bottle was labeled "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.

Noncompliance Area: Three large coolers were observed to contain multiple lunchboxes, with items requiring refrigeration, in the school-age classroom.

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

Noncompliance Area: Records for Staff #1 and Staff #2, who were both observed to be working with children during the inspection, do not contain two written, nonfamily references.

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

Noncompliance Area: Staff #3 began working at the facility on 6/14/17, but did not complete Mandated Reporter Training until 8/4/18, more than 90 days after the beginning of employment in child care.

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

Noncompliance Area: A spray can of glass cleaner, labeled "Keep Out of Reach of Children," was observed in the main stairwell to the lower level, accessible to children using the stairs. A closet in the School-Age room was observed to be unlocked during the inspection, and two boxes of tile grout labeled "Keep Out of Reach of Children" were observed inside, 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: A corner of a wall in the hallway toward the preschool classroom near the emergency exit was observed to have chipping paint at a level that is accessible to children.

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

Noncompliance Area: Diaper creams in the Infant room were being stored in a container on the diaper changing table, accessible to any children being changed. Two emergency response kits, one in the Infant room and one in the Toddler room, were observed to be accessible to children in the classroom, as they were being stored near the floor.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Pull-ups in the Preschool classroom were being disposed of in a can that is not a hands-free can.

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

Noncompliance Area: Record for Staff #4 does not contain a health assessment conducted within the last 24 months.

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: Manufacturer's instruction were not present for safety restraints used in the 'Willow Creek' van. These restraints are used by the children during transportation.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Noncompliance Area: Record for Staff #3 does not contain proof of education 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.

Noncompliance Area: Sharp teacher scissors, hand sanitizer labeled ''Keep out of reach of children,'' and two hand lotions both labeled ''Keep out of reach of children,'' were observed in an unlocked drawer of the filing cabinet in the upstairs School-Age room. Palmolive dish soap labeled ''Keep out of reach of children'' was observed on the sink, in an area accessible to children, in the upstairs School-Age room.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: Staff #1 began working in child care on 8/15/17, but the child abuse clearance on file for the staff person is dated 10/19/17. Staff #2 began working in child care on 9/27/17, but the FBI Clearance in the file is dated 2/7/18. Staff #3 began working in child care on 12/1/17, but the Child Abuse Clearance in the file is dated 2/13/18, and the FBI Clearance in the file is dated 2/6/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: A power cord for a sound machine in the Infant classroom was unsecured and posed a tripping hazard. A cord for the walkie talkies in the Preschool classroom was observed to be unsecured and hanging loose in reach of children. A telephone cord was observed to be unsecured and hanging loose, and the telephone was on top of a high shelf, posing a hazard. Baseboard molding in both the upstairs School-Age room and the Infant classroom was missing, and the unfinished bottom of the drywall was observed to be exposed and accessible to children. The second bus seat on the right on the 'Willow Creek' van was observed to be torn and the wood inside was exposed.

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: THREE OF THE DIAPER CREAMS IN THE TODDLER CLASSROOM WERE EXPIRED.

Correction Required: Medication shall be stored in accordance with the manufacturer`s or health professional`s instructions on the original label.

Noncompliance Area: THE BOYS BATHROOM DID NOT CONTAIN A LIDDED WASTE RECEPTACLE.

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