Creative Education Learning Academy Llc

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons # 1 and 3 did not have Fire Safety Training on file during the renewal inspection.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person # 1 did not have NSOR clearance and staff # 2 did not have disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and 2 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person # 2 did not have written documentation of annual evaluation on file during the renewal inspection.

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: 3270.107

Description: Refrigerator

Noncompliance Area: AT THE TIME OF INSPECTION, THERE WAS NO THERMOMETER 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: 3270.14/3270.22

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: AT THE TIME OF INSPECTION, THE PROVIDER DID NOT HAVE A POLICY AND PROCEDURE TO IDENTIFY THE PREVENTION OF SHAKEN BABY SYNDROME, ABUSIVE HEAD TRAUMA, AND CHILD MALTREATMENT.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: AT THE TIME OF INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT HAVE TWO WRITTEN LETTERS OF 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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: THE FILE OF STAFF PERSON #1 DOH (SEE LIS CODE SHEET), DID NOT CONTAIN A COPY OF FBI AND NSOR CLEARANCE HISTORY INFORMATION.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.37(b)(3)/3270.192(2)(iv)

Description: 8th grade + 2 yrs/Transcript, diploma and letters

Noncompliance Area: AT THE TIME OF INSPECTION, STAFF PERSON #2 DID NOT HAVE VERIFICATION OF EDUCATION.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSONS # 1 AND 3 DID NOT HAVE VERIFICATION OF CURRENT EMERGENCY PLAN TRAINING.

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.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #2 DID NOT HAVE VERIFICATION OF FIRESAFETY TRAINING.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: AT THE TIME OF INSPECTION THE DIRECTOR DID NOT HAVE VERIFICATION OF COMPLETED EVALUATIONS FOR STAFF PERSONS # 1 OR 4.

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: At the time of the inspection, there was no update to the child service report on file for child # 1-3 and 5. The last report in the file was dated 12-20-17. There was no child service report in the file of child #4 who had a starting date of 3-19-18.

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: At the time of the inspection, there was no updated health report on file for child #5 (DOB 10-2-16). The last dated report was 10-23-17, there should have been another report 6 months later around 4-23-18 and then again 10-23-18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: At the time of the inspection, question #2 on the health assessment for staff #4 was marked yes for communicable diseases, however, nothing was attached to explain the reasoning behind answering a yes to that question.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #4.

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

Noncompliance Area: At the time of the inspection, there was no verification of 6 clock hours of child care training on file for staff #1 and 2.

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

Noncompliance Area: At the time of the inspection, there was no fire safety training on file for staff #2.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: At the time of the inspection, there was no written evaluation on file for staff #4 or 5.

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

Noncompliance Area: At the time of the inspection, there was no file for child #1 (DOB 11-29-03). THIS IS A CONTINUED VIOLATION FROM THE UNANNOUNCED INSPECTION ON 6-12-18. At the time of the inspection on 7-17-18, there was no file for child #2 (DOB 11-22-02).

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: At the time of the inspection, there was no file for child #1 (DOB 11-29-03).

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: At the time of the inspection, at 10:15 am upon arrival into the facility, it was observed that there were 12 children together in one area with staff #1 and 2. Of those 12 children, child #2 (DOB 7-19-16) and child #3 (DOB 10-2-16) were under the age of 2 years old.

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 in 3270.51 (relating to similar age level).

Noncompliance Area: At the time of the inspection, the last recorded fire drill was listed as 3-15-18.

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: At the time of the inspection, there were 8 children (ages 1-2 yeas old) with staff #1 and 2. When certification rep. asked staff #1 which children she was responsible for in her care , she replied the names of all 8 children and said that they share the children and not spit them into groups.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: At the time of the inspection, there was mouse droppings on the floor in between the children's cubbies and the sink.

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

Noncompliance Area: At the time of the inspection, the water in the bathroom measured 118 F

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

Noncompliance Area: At the time of the inspection, there was no initial health report on file for child # 1 (DOB 10-7-11) and date of admission of 2-18-16. There was no initial report for child #2 (DOB 11/22/05) and date of admission of 5-29-16. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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.

Noncompliance Area: At the time of the inspection, there was no updated health report on for child #9 (DOB 1-13-15) and last health report on file was 4-18-16. There should have been another health report at 2 year birthday. There was no updated health report on file for child #13 (DOB 7-29-15) and last health report was dated 6-15-16. There should have been another health report at 2 year birthday. There was no updated health report on file for child #11 (DOB 12-24-13) and last health report was dated 6-24-16. There should have been another health report 12 months later. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, there was no health assessment on file for staff #1 (date of hire 1/26/18).

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

Noncompliance Area: At the time of the inspection, there was no verification of tuberculosis screening by the Mantoux method at initial employment on file for staff #1.

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: At the time of the inspection, there was nothing specifying 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 on the agreement of child #4,5,7,8,9,10, 11. There was no child service report on file for child #4 and 11. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: At the time of the inspection, there was no phone number of the child's physician on the emergency contact form for child #5, 10 and 11. There was no name, address and telephone number of the child's physician or source of medical care on the emergency contact form for child #7. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #4,5, 7, 8, 9, 10 and 11. There was no home telephone number of the enrolling parent on the emergency contact form for child #13. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: At the time of the inspection, there was no health insurance coverage and/or policy number on the emergency contact form for child #1,3,5 and 7. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, there was no address and/or phone number of the individual designated by the parent to whom the child may be released for child #1, 2, 7, and 9. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, there was no initial health report on file for child # 1 (DOB 10-7-11) and date of admission of 2-18-16. There was no initial report for child #2 (DOB 11/22/05) and date of admission of 5-29-16. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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.

Noncompliance Area: At the time of the inspection, there was no updated health report on for child #9 (DOB 1-13-15) and last health report on file was 4-18-16. There should have been another health report at 2 year birthday. There was no updated health report on file for child #13 (DOB 7-29-15) and last health report was dated 6-15-16. There should have been another health report at 2 year birthday. There was no updated health report on file for child #11 (DOB 12-24-13) and last health report was dated 6-24-16. There should have been another health report 12 months later. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, there was no update to the emergency contact form or agreement at least once in a six month period for child #1-5, 7, 8, 9, 10, and 11. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, there was no verification of emergency plan training in the file of staff #2. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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.

Noncompliance Area: At the time of the inspection, there was no verification of staff #1 obtaining 6 clock hours of child care training annually. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, there were 2 ceiling tiles located by the back door that had water damage to them. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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: At the time of the inspection, there was chipped and peeling paint at the following locations: the changing table in the bathroom, the trash can at the back door, the Calendar in the main child care space, the tree by the block area, on the baseboard by the rocking chair, on the yellow wall in the play area. There was damaged plaster on the corners of the wall that divide the child care space from play space. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

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

Noncompliance Area: At the time of the inspection, the sink in the bathroom was pulling away from the wall and was easily movable posing a potential falling hazard if a child would hang on it or put pressure on it. THIS IS A CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION ON 11/29/17.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of the inspection, the red chair that was at the computer table was ripped exposing the foam padding and the bean bag in the child care space was ripped at numerous places.

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

Noncompliance Area: At the time of the inspection there was no fee to be charged per day or per week on the agreement of child #1.

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

Noncompliance Area: At the time of the inspection, there was no date on which the fee is to be paid on the agreement of child #1.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: At the time of the inspection, there was nothing specifying 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 on the agreement of child #4,5,7,8,9,10, 11. There was no child service report on file for child #4 and 11.

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: At the time of the inspection, there was no date of admission on the agreement of child #8.

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

Noncompliance Area: At the time of the inspection, there was no birthdate of the child on the emergency contact form for child #2 and 10.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: At the time of the inspection, there was no phone number of the child's physician on the emergency contact form for child #5, 10 and 11. There was no name, address and telephone number of the child's physician or source of medical care on the emergency contact form for child #7.

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

Noncompliance Area: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #4,5, 7, 8, 9, 10 and 11. There was no home telephone number of the enrolling parent on the emergency contact form for child #13.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: At the time of the inspection, there was no health insurance coverage and/or policy number on the emergency contact form for child #1,3,5 and 7.

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

Noncompliance Area: At the time of the inspection, there was no address and/or phone number of the individual designated by the parent to whom the child may be released for child #1, 2, 7, and 9.

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

Noncompliance Area: At the time of the inspection, there was no initial health report on file for child # 1 (DOB 10-7-11) and date of admission of 2-18-16. There was no initial report for child #2 (DOB 11/22/05) and date of admission of 5-29-16.

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.

Noncompliance Area: At the time of the inspection, there was no updated health report on for child #9 (DOB 1-13-15) and last health report on file was 4-18-16. There should have been another health report at 2 year birthday. There was no updated health report on file for child #13 (DOB 7-29-15) and last health report was dated 6-15-16. There should have been another health report at 2 year birthday. There was no updated health report on file for child #11 (DOB 12-24-13) and last health report was dated 6-24-16. There should have been another health report 12 months later.

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

Noncompliance Area: At the time of the inspection, there was no update to the emergency contact form or agreement at least once in a six month period for child #1-5, 7, 8, 9, 10, and 11.

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

Noncompliance Area: At the time of the inspection, there was no verification of emergency plan training in the file of staff #2.

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.

Noncompliance Area: At the time of the inspection, there was no verification of staff #1 obtaining 6 clock hours of child care training annually.

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

Noncompliance Area: At the time of the inspection, there were 2 ceiling tiles located by the back door that had water damage to them.

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: At the time of the inspection, there was chipped and peeling paint at the following locations: the changing table in the bathroom, the trash can at the back door, the Calendar in the main child care space, the tree by the block area, on the baseboard by the rocking chair, on the yellow wall in the play area. There was damaged plaster on the corners of the wall that divide the child care space from play space.

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

Noncompliance Area: At the time of the inspection, the sink in the bathroom was pulling away from the wall and was easily movable posing a potential falling hazard if a child would hang on it or put pressure on it.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of the inspection, there were cases of food being stored on the floor by the refrigerator. When asked when the delivery arrived, staff #1 and 2 stated that it was delivered on Monday night, 9/11/17.

Correction Required: Food handling practices shall conform to the requirements of the Department of Health or the Department of Environmental Resources or its delegate agency where the child care facility is located.

Noncompliance Area: At the time of the inspection, staff #1 and staff #2 were not trained in the emergency plan upon hire. This is a continued non-compliance from the unannounced inspection on 8-8-17.

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.

Noncompliance Area: At the time of the inspection, there were2 screws in the baseboard of the green wall under the window. One of these screws was not tightened causing a one inch gap from the head of the screw to the wall. This causes a hazard to children.

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: At the time of the inspection, there was peeling paint on the green wall under the window. There was damaged plaster on the corner of the wall that separates the child care space from the play space.

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

Noncompliance Area: At the time of the inspection, the handle to flush the toilet was broken.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of the inspection, staff #2 did not have verification of tuberculosis screening by the Mantoux method at initial employment.

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: At the time of the inspection, staff #1 and staff #2 were not trained in the emergency plan upon 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 and kept on file at the facility.

Noncompliance Area: At the time of the inspection, there was not an acceptable verification of education on file for staff #1.

Correction Required: A facility person`s record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: At the time of the unannounced inspection, STAFF #2 (date of hire 7/5/17) who was hired as a Director, did not have verification of PA State Police Clearance and therefore may not work in a child care position at the facility.

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

Noncompliance Area: At the time of the inspection, the Director was not present. This is a continued noncompliance from the renewal inspection on 5/11/17.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4).

Noncompliance Area: At the time of the inspection, there was not an acceptable verification of education on file for staff #1.

Correction Required: A facility person`s record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person on file for staff #1.

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: At the time of the inspection, staff #2 did not have verification of FBI clearance (date of hire 11/18/16). This is a continued noncompliance from the renewal inspection on 5/11/17.

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

Noncompliance Area: At the time of the inspection, the Director was not present. This is a continued noncompliance from the renewal inspection on 5/11/17.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).

Noncompliance Area: At the time of the inspection, between 8:19-8:30, there was one facility person in the center with two children.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: At the time of the inspection, the certification representative observed a child being changed on the changing table in the restroom. The teacher changing the child walked away from the child leaving the child unattended on the changing table and out of the restroom to the get an item that was located in the cabinets above the sink in the kitchen/food prep area.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: At the time of the inspection, there was nothing secifying 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 developmenton the agreement of child #1-5.

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: At the time of the inspection, the work address and phone number of the enrolling parent were missing from the emergency contact form for child #1,3-5.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: At the inspection, the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits was missing from the emergency contact form for child # 5.

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

Noncompliance Area: At the time of the inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #3-5.

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

Noncompliance Area: At the time of the inspection, there was no 6 month update to the emergency contact form for child #4.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: At the time of the inspection, the certification representative observed a child being changed on the changing table. When the child was removed from the table, the staff did not clean it after use by wiping the surface with a sanitizing solution.

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: At the time of the inspection, the health assessment on file for staff #3 was dated 4/10/15 and expired on 4/10/17.

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 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.

Noncompliance Area: At the time of the inspection, there was no verification of safe routes being posted at a conspicuous location in the child care facility.

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

Noncompliance Area: At the time of the inspection, there was no verification of comprehensive general liability insurance to cover the persons who are on the premises.

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: At the time of the inspection, there was no verification of age in the file of staff # 2.

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

Noncompliance Area: At the time of the inspection, there was no verification of child care experience, education and training prior to service at the facility for staff #4.

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: At the time of the inspection, there was no verification of 6 hours of annual training for staff #1.

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

Noncompliance Area: At the time of the inspection, staff #2 did not have verification of FBI clearance (date of hire 11/18/16)

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

Noncompliance Area: At the time of the inspection, the Director was not present.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).

Noncompliance Area: At the time of the inspection, there was water damaged ceiling tiles located by the back 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: At the time of the inspection, the floor located in the restroom was sticky and in need of a cleaning.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of the inspection, there was nothing specifying 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 on the agreement for child #4. This is a continued noncompliance from the inspection on 11/17/16.

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

Noncompliance Area: At the time of the inspection, there was no health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child #4. This is a continued noncompliance from the inspection on 11/17/16.

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

Noncompliance Area: At the time of the inspection, there was no address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child 4. This is a continued noncompliance from the inspection on 11/17/16.

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

Noncompliance Area: At the time of the inspection, there was no health report for Child # 4. This is a continued noncompliance from the inspection on 11/17/16.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Noncompliance Area: At the time of the inspection, there was a medical record demonstrates a positive tuberculin skin test for staff #3 which expired 10/31/2016. Staff #3 is due for another assessment to include the results of a chest x-ray and evaluation for chemoprophylaxis. This is a continued noncompliance from the inspection on 11/17/16.

Correction Required: If a person`s medical record demonstrates a positive tuberculin skin test, that record shall be placed on file at the facility.A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.