Cranberry Child Dvpt Ctr

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Squirrel Room, there was a broken plastic bin creating a pinching hazard. In the large tree house outdoor play area with the rubber mulch, the rubber pieces on the climbing net were cracked and damaged.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The facility lacked documentation relating to the protective surface covering in the outdoor play areas utilizing the rubber mulch.

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.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement form for Child #6 lacked the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #1 lacked the address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.131(a)(4)

Description: Initial health report for school age; accordance with school attendance

Noncompliance Area: The most recent health report on file for Child #7, a school age child, was dated 10/26/22; completed before the child's initial health report for school attendance.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent health report on file for Child #2, a preschool child, dated 6/3/24 is over 12 months old. The most recent health report on file for Child #4, a preschool child, dated 7/23/24 is over 12 months old. The most recent health report on file for Child #6, a preschool child, dated 7/23/24 is over 12 months old.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. 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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report on file for Child #5 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #3, enrolled more than 60 days, lacked verification of vaccinations in accordance with the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #3 will be dismissed from care by close of business 8/29/25 until either the immunization record is updated or a parent provides a written, signed exemption letter.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The gate to the air conditioning units and other mechanical equipment was unlocked and standing open giving children access to an unsafe area including a window well. Children had been out in that space earlier during the fire drill. Director reported that the school age children utilize the play area that the gate opens to as well.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #1 completed Pediatric first aid and CPR training on 8/5/25 which was after their previous Pediatric first aid and CPR expired in July 2025.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for Staff #2 contained a mandated reporter training dated 10/18/24 which was obtained more than 60 months from the previous mandated reporter training dated 4/15/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Bunnies Room, Quat Stat 5 Disinfectant, stating "Keep out of reach of children", was sitting on the counter next to the changing table/pad and 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the 2 outdoor play spaces utilizing the rubber mulch, the fabric base was exposed creating a hazard; some of the outdoor play surface was not covered with the rubber mulch. Also there were 2 large rocks exposed at the base of one of the play equipment poles.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Coyote Room, there was peeling paint next to the sink and next to the door. In the Squirrel Room, there was peeling paint to the left of the window above the book shelf.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: . In the Eaglet Room, observed a large green pillow that the children sit/lay on which was soiled and stained. In the outdoor play space, observed a cracked sand pail in the sand box which causes a pinch point to the children in care. In the Chipmunk room observed a child's climber which was soiled and stained on the carpeted area of the climber

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Bunny Room, observed one crib which lacked 2 feet of space on three sides. While a child was not in the crib, staff stated that the way the room was set up is where the rest equipment is located during naps.

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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 7/18/24, staff #1 slapped child #1 on the cheek, pulled the child down and pulled aggressively on the child's arms putting them behind the child.

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: On 7/18/24, staff #1 told child #1 that the child was not going to bite staff #1 and stated this in a loud and harsh tone.

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

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: There was more than 12 months between the previous and most current health assessments on file for child #2. This is evidenced by health assessment dates on file of 2/21/23 and 4/6/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for child #1 contains 1 of 2 Heb B vaccinations as recommended by the ACIP for the age of the child.

Correction Required: Child # 1 must be dismissed from care by close of business on plan of correction request date and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The most current health assessment on file for child #2 lacks the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Observed Children's Motrin for child #3 which expired 7/2024.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #2 lacks fire safety training within the past 12 months. There is no fire safety training on file.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for staff #3 lacks 2.5 hours of child care training for the current annual training year. The file for staff #4 lacks 6 hours of child care training for the current annual training year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: There was more than 60 months between the previous and most current mandated reporter trainings on file for facility person #1. This is evidenced by the trainings on file dated 8/10/2019 and 8/14/2024.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The Fox room lacked a first-aid kit in the room.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill on file which was conducted on 7/9/24, lacked the number of children who participated in the drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Eaglet classroom a wooden block was observed to be broken causing rough edges and sharp corners.

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: 3270.107

Description: Refrigerator

Noncompliance Area: In the Eagle classroom an operating thermometer was not placed in the 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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Black Bear classroom a box cutter and container with push pins was observed in a drawer accessible to the children.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #1 lacked a staff evaluation that was completed 12 months from the previous staff evaluation. The staff evaluations in the file were dated 3/8/22 and 3/26/23.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, who was hired as an aide on (See LIS CODE SHEET), lacked an FBI clearance and NSOR clearance within 45 days from the hire date and was not removed from the childcare. The FBI clearance in the file is dated 9/9/22. The NSOR verification certificate in the file is dated 8/9/22.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #1 lacked written evaluation within 12 months of the previous written evaluation. The written evaluations in the file are dated 4/30/21 and 5/1/22.

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: In the Eaglet Room, observed two plastic toy bins with multiple cracks on the edges of the bins.

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 Fox Room lacked a daily activity schedule.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: The fee agreement on file for child #5 lacked the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The Eagle Room lacked a medical emergency transportation plan.

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.

Noncompliance Area: The files for children #1 and 2 lack an initial health assessment within 90 days of start date (regulatory suspensions effective 3/6/2020.) There is no health assessment on file for child #1. There is now a health assessment on file for child #2.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The files for children #1, 2 and 3 lack verification that ongoing vaccines administered are in accordance with the schedule recommended by the ACIP.

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: There was more than 24 months between the previous and most current and updated health assessment on file for staff #1.The file for staff #12, lacks verification of an initial health assessment.

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: The file for staff #15 lacks the results of TB screening.

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: There was more than one year in between the previous and most current emergency plan trainings on file for staff #1, 4, 9, 10, 11, 13, and 15. Dates are as follows for 1, 4, 9, 10, 11, and 13 - 5/14/19 and then 6/10/20. Staff #15 - 5/14/19 and then 8/24/20. The files for staff #6 and 7 lacked emergency plan training within one week of start date. There is now current emergency plan training on file.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: There was more than one year between the previous and most current fire safety training on file for staff #1, 4, 9, 10, 11, 13, and 15. Dates are as follows for staff 1, 4, 9, 10, 11, and 13 - 5/14/19 and 6/10/20. Staff #15 - 5/14/19 and 9/1/20.

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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #11, lacked 3 of the required 6 annual hours of child care training and the trainings were due in the file prior to regulatory suspension date of 3/6/2020.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #2, with provisional hire date of 10/21/2019, lacked an NSOR within 90 days of initial date in a child care position. There is now an NSOR on file and dated 5/15/2020. The file for staff #3, with provisional hire date of 2/10/2020, lacked an NSOR within 45 days of initial date in a child care position. There is now an NSOR on file and dated 6/23/2019. The file for staff #5, with provisional hire date of 9/3019, lacked an application for the NSOR on or before initial date in a child care position. NSOR is now on file and dated 5/15/20. The file for staff #6, with provisional hire date of 3/16/2020, lacked an application for the NSOR on or before initial date in a child care position. There is now an NSOR on file and dated 6/22/20. The file for staff #10, lacks a current Child Abuse clearance within the past 60 months. Child Abuse clearance on file is dated 8/6/2015. The file for staff #12, with provisional hire date of 10/7/2019, lacked an NSOR within 90 days of hire. There is now an NSOR on file and dated 1/16/2020. The file for staff #14, with provisional hire date of 9/6/2019, lacked an application for a Child Abuse clearance on or before initial date in a child care position. There is now a Child Abuse clearance on file and dated 9/16/2019. The file for staff #15, lacked an NSOR by 7/1/2020. There is now an NSOR on file and dated 8/5/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). : Facility Person #10 -- 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.

Noncompliance Area: The file for staff #8, who holds the title of assistant group supervisor, lacks 899 hours of child care experience. There are 1601 hours of child care experience on file and a high school transcript verifying graduation date.

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: There was more than 12 months between the previous and most current staff evaluations on file for staff #9 and 11. Evaluations are as follows; Staff #9 - 1/29/19 and then 2/4/20, Staff #11 - 8/1/18 and then 9/6/19. The file for staff #15 lacked a staff evaluation within 12 months of hire date. Staff #15 was hired 10/13/2018. Staff evaluation was completed 9/1/2020.

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: In the Bunnies room observed a cabinet under the sink which had a failed lock. Observed toxic Ajax cleaner and Sanitizing solution in reach of the children in care.

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

Noncompliance Area: The current immunization record on file for child #1, who is 3 years of age, contains zero Rotavirus vaccinations when 2 are recommended and zero Hep A vaccines when 2 are recommended. There is no record of a flu shot within the past year for child #1.

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: There was more than 24 months between the previous health assessment and the most current and updated health assessments on file for staff #1, 2, 3, 6, and 7.

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: The file for staff #9 lacked verification of a tuberculosis screening by the Mantoux method on or before initial date in a child care position. There is now a TB screening on file.

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: The file for staff #5 lacks one written nonfamily reference 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: The file for staff #4, with provisional hire date of 11-12-2018, lacked verification of FBI fingerprinting on or before initial date in a child care position. There is now an FBI clearance on file and dated 2-6-2019. The file for staff #9, with hire date of 5-15-2019, lacked a disclosure statement on or before initial date in a child care position. There is now a disclosure statement on file and dated 5-17-2019. The file for staff #10, with hire date of 5-14-2019, lacks the correct FBI clearance required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #10- 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.

Noncompliance Area: The file for staff #8, who holds the title of assistant group supervisor, lacks 1201 hours of child care experience.There are 1299 hours of child care experience and a high school diploma on file.

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: The first aid kid in the Black Bear room lacked soap.

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

Noncompliance Area: In the Chipmunk room, observed peeling paint on the ledge of the left window and an area of peeling paint the size of a dime on the back wall by the trash receptacle.

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

Noncompliance Area: There was more than 60 days in between fire drills. A fire drill was conducted on 7-24-2018 and then on 3-27-2019.

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: In the Black Bear Room and in a toy bin, observed multiple metal tongs with silicone tips. The silicone tips were ripped exposing rough edges. In the Mountain Lion Room, observed 3 plastic toy bins. In the Coyote Room, observed 1 plastic toy bin. These bins were cracked exposing sharp corners and pinch points. In the indoor Jungle Gym, observed the Tree in middle of the room which had an exposed sharp point at child level. In the outside School Age Play Space, observed a Jungle Gym with a plastic climbing chain. Two areas of the plastic chain were cracked. In the Preschool Outdoor Play Space, observed the green area at the top of the slide which had multiple cracks. In the Fox Room, observed a children's blue couch with a rip which exposed foam. In the Coyote Room, observed a blue seat cushion and a blue couch with a rip which exposed foam. In the Coyote Room, observed a soft pillow area which was not clean.

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: In the School Age play space, observed areas near the climbing chain, slide, and ladder which were lacking the six inches of rubber mulching required by the United States Consumer Product Safety Commission.

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: In the Coyote Room, the refrigerator thermometer was 60 F.

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: In the Bunnies Room, observed an infant sleeping in a crib. The crib had two bed risers underneath the two front legs allowing the infant to sleep on an incline.

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: The files for children #7 and #8 lack the Department's approved form to provide information to the family about the child's growth and development within the past 6 months.

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: The emergency contact information on file for child #2 lacks a health insurance policy number. The emergency contact information on file for child #6 lacks all addresses of the individuals designated by the parent to whom the child may be released.

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

Noncompliance Area: The Grouse room lacked a conspicuously displayed written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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.

Noncompliance Area: The file for child #3, who has been enrolled longer than 60 days, lacks an initial health assessment.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for child #5, who is an older toddler, lacks a current and updated health report within the past 12 moths.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The current and updated health assessment for child #1, who is of school age, lacks the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: In the Bunnies Room, observed an unlabeled infant bottle.

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

Noncompliance Area: In the Black Bear Room, observed a CD player sitting on a shelf at child level. There was a cord attached to the CD player and plugged into the wall creating a choking hazard to the children in care.

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

Noncompliance Area: The facility's current certificate of compliance was not posted.

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: There was more than one year in between emergency plan trainings for staff #1, #2, #3, #4, #5, #6, #7, #8, #10, #11, #12, #13, #14, #16, #17, and #18. There are current emergency plan trainings on file.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: There was more than one year in between firesafety training for staff #1, #2, #3, #5, #6, #7, #8, #10, #11, #12, #13, #14, #16, and #17. There is current fire safety training on file.

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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The files for staff #3, #4, #11 and #18 lacked an annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: There was more than one year in between staff evaluations for staff #3, #5, #7, #8, #12, #17 and #18. There are current staff evaluations on file.

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: Observed rain spouts with sharp edges on the outside of the exit door of the Coyote Room. If there is an emergency or fire drill, the children will walk by the rain spouts.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: In the staff bathroom located next to the Bobcat room, observed hair spray. deodorant. and lotion in a bin across from the toilet. The children walk down this hall and the bathroom door was not locked making this room accessible to the children in care.

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: In the Older School Age, Fox, and Pheasant room, observed cleaning bottles which were in containers that did not specify 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: In the School Age Outdoor Play Space, observed sharp jagger weeds near the back of the fence. In the Preschool Age Outdoor Play Space, observed a wire fence at the back of the left wall which had multiple wires which were sticking out and a protruding wire on the back wall of this play space. In the Infant and Young Toddler Outside play space, observed an area on the ground with many bird droppings.

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: In the Eaglet room, observed a toilet which lacked a hand washing sign.

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: In the Bobcat room, observed the exit door which leads to the indoor Jungle Gym. The door was locked on the Jungle Room side. Therefore, the Bobcat exit was obstructed.

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

Noncompliance Area: The refrigerator in the Fox room had a temperature of 51 degrees F.

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: While the children were on a swimming excursion, observed facility person #7, who is a certified lifeguard, supervising two facilities at the same time- Cranberry CDC and Hassan CDC. However, one lifeguard per child care location is required because compliance is measured at a location level.

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. When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3270.31(e)(4)(iii) (relating to age and training).

Noncompliance Area: The fee agreement on file for child #2 lacked the amount of fee to be charged per day or per week and the date on which the fee is to be paid. The fee agreement on file for child #4 lacked the date on which the fee is to be paid.

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

Noncompliance Area: The file for child #4, who has been enrolled longer than 60 days, lacks a health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: The files for child #1, #3, and #5, all who are preschool age, lack a current updated health report within the past 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: The current health assessment on file for child #6 and #7 lack a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The facility lacked written notification of safe pick up/drop off procedures at a conspicuous location.

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

Noncompliance Area: The emergency contact information on file for child #4, lacks parental consent for transportation and swimming.

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

Noncompliance Area: The files for facility person #5 and #6 lack 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: The file for staff #2, with hire date of 05-29-2012, lacks emergency plan training within the past 12 months. Emergency plan training on file for staff #3 is dated 05-12-2016. The file for facility person #5, with hire date of 02-23-2016, lacks documentation of emergency plan training at the time of initial employment and within the past 12 months. The file for facility person #6, with hire date of 09-29-2016,lacks emergency plan training at the time of initial employment.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person`s record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1, a provisional hire on 06-12-2017, lacked documentation of a request for an FBI Clearance on or before an initial date in a child care position. There is no current FBI clearance on file for staff #1. The file for staff #2, with hire date of 05-29-2012, lacked documentation that the State Police Clearance, Child Abuse Clearance, and FBI Clearances were updated 60 months from the oldest date on the existing clearances. The oldest date on the existing clearance was dated 02-24-2012. New clearances were needed by 02-23-2017 and were provided after this date. There are current updated clearances on file for staff #2. The file for staff #3, with hire date of 06-01-2015, lacked documentation that the request for Child Abuse Clearance was submitted on or before initial date in a child care position. Request for Child Abuse Clearance is on file and dated 06-08-2015. There is a current Child Abuse Clearance on file for staff #3. The file for staff #4, with hire date of 09-16-2016, lacked documentation of a request for an FBI Clearance on or before initial date in a child care position. There is a current FBI clearance on file for staff #4. The file for facility person #5, with hire date of 02-23-2016, lacked documentation that the requests for an FBI CLearance and Child Abuse Clearance were obtained on or before initial date in a child care position. There are current clearances on file for facility person #5.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 -- 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.

Noncompliance Area: In the Coyote room, the first-aid kit lacked soap.

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

Noncompliance Area: In the hallway outside of the Chipmunk room, observed fraying carpet from one end of the wall to the other causing a visible hazard. In the indoor play space by the water fountain, observed fraying carpet causing 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.

Noncompliance Area: In the Eaglets bathroom, observed two toilet areas which were lacking hand washing signs.

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.