Darilyns Kiddie City Daycare Center Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During a renewal inspection on 5/29/26 Cert rep observed tears in the corners of the play mats and nap mats in Room 3. Cert rep also observed a broken piece of the yellow decorative plastic, which had a rough edge, on the playground equipment.

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: During a renewal inspection on 5/29/26 Cert rep observed during naptime that three children in Room 3 had less than two feet of space on at least three side of the nap cots. The short sides of the three cots were against the wall and had no measured space. The three cots had 1 foot of measured space on each of the 2 long sides of their cots.

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(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a renewal inspection on 5/29/26 Cert rep observed the following incident regarding supervision: Staff 2, 4, and 5 were present in Room 3 with 15 children who were napping. Staff Person 2 named and identified 4 children who were on the same side of a shelf as Staff Person 2, and Child 1 who was located on the other side of the shelf as being in their group. When Cert Rep questioned this Staff Person 2 reported they were unable to see Child 1 in their assigned group because a shelf blocked their view of Child 1.

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. 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. TIERED LIS: 1. 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. 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. This portion of the plan shall have an immediate correction date. 2. The operator will have Staff 2 participate in in the following trainings on Better Kid Care: "Supervision: What's required?" (1 hour long) and "Supervision: Teamwork" (1 hour long) or the Spanish version of these trainings. If Staff 2 has already completed these trainings the legal entity shall have Staff 2 complete 2 hours of PQAS approved trainings related to supervision. The trainings used to fulfill this portion of the plan must be approved by the NE Regional Office before completion. The legal entity shall maintain documentation of the training certificates in the staff files. The provider shall provide a date when this portion of the plan will be completed.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 5/29/26 the facility was not providing information regarding their hours of operation at the facility to the parents in writing.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During a renewal inspection on 5/29/26 Child 3's most recent Child Service Report was dated 10/17/25, which is more than 6 months prior. Child 3 was present on 5/9/26.

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).

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During a renewal inspection on 5/29/26 Child 2's emergency contact form did not have the name, and telephone number of the child's physician or source of medical care. Child 2's emergency contact form also did not have the health insurance coverage and policy number for a child.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: During a renewal inspection on 5/29/26 Infant Child 2's file did not have an initial health report or immunization record on file. It has been more than 60 days since Child 2's date of admission. (See LIS code sheet for DOB and date of Admission.

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 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 2 must be dismissed from care by close of business 5/29/26 and may only return to care when the immunization record which meets the recommendations of the ACIP is on file or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection 5/29/26 the facility did not have a written policy which addressed strategies for coping with a crying, fussing, or distraught child.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

Regulation: 3270.165

Description: Menus

Noncompliance Area: During a renewal inspection on 5/9/26 Cert rep observed the menu for the following week was not posted at the facility. It was reported that the parents are not otherwise provided information regarding the menu of food served by the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection on 5/29/26 Staff 1 and Staff 2's most recent emergency plan training was more than 12 months ago. Staff 1's most recent emergency plan training was dated 1/25/25, and Staff 2's most recent emergency plan training was dated 6/12/24.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal inspection on 5/29/26 the following staff did not have 12 training hours during their training year: Staff 1 (9.5 hours of training recorded during training year 12/2024-12/2025) Staff 2 (1 hour of training recorded during training year 12/2024-12/2025) Staff 3 (5.5 hours of training recorded during training year 12/2024-12/2025)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person 1 must take 2.5 hours of professional development to fulfill requirement for training year 12/2024-12/2025. Hours used to fulfill training year 12/2024-12/2025 cannot be used to fulfill current training year or any other training years. Staff person 2 must take 11 hours of professional development to fulfill requirement for training year 12/2024-12/2025. Hours used to fulfill training year 12/2024-12/2025 cannot be used to fulfill current training year or any other training years. Staff person 3 must take 6.5 hours of professional development to fulfill requirement for training year 12/2024-12/2025. Hours used to fulfill training year 12/2024-12/2025 cannot be used to fulfill current training year or any other training years.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 5/29/26 Cert rep noted the following violations of the the Child Protective Services Law(CPSL): Staff 3 did not renew their PSP clearance within 60 months. This is evidenced by previous PSP clearance certificate dated 11/30/20. There was a PSP request dated 10/22/25, however there was no current PSP clearance certificate on file. Staff 4 had a PSP clearance request dated 6/23/25, but did not have the PSP clearance on file. Staff 4 was provisionally hired, but is beyond their 45 day provisional hire window(See LIS code sheet for 1st day with children). Staff 3 and Staff 4's PSP clearance certificates dated 10/22/25 and 6/23/25 respectively were obtained on 5/29/26 however this was after Staff 3 and 4 were observed to be providing care to children.

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: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection on 5/29/26 Staff 4 had a high school diploma and 0 hours of child care experience verified on file. Staff 4 has been working as an Assistant Group Supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include 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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During a renewal inspection on 5/29/26 Cert rep observed a rocking chair blocking the emergency exit door in Room 2.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 5/29/26 review of the fire detection testing log show 6 incidents where there was more than 30 days between fire system testing: 8/28/25-9/30/25, 9/30/25-10/31/25, 12/19/25-1/19/26, 1/19/26-2/20/26, 2/20/26-3/24/26, and 3/24/26-4/24/26.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep observed plastic bags in an accessible filing cabinet drawer in the Large room, and plastic bags and gloves under the changing tables in the bathroom and the infant rooms. These items were accessible to children who may still be placing objects in their mouths.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep observed the daily schedule was not posted in School Age Room/Room 1.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep noted the following missing information from emergency contact form: parent's home address and phone number(Child 5), parent's work address (Child 3 & 5), and parent's work phone number (Child 3-5)

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep noted Child 1(infant)'s health assessment was dated 8/4/24, which is more than 6 months ago. See LIS code sheet for DOB.

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

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep noted Child 2's immunization record did not have record of the following recommended vaccines: Hepatitis B(2nd dose), DTAP(2nd dose), Hib (2nd dose), Pneumococcal (2nd dose), and Polio(2nd dose). There was no immunization exemption on file for Child 2. See LIS code sheet for date of birth.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 2 must be dismissed from care by close of business 5/22/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(4)/3270.133(5)

Description: Locked/Original label

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep observed diaper rash cream was being stored under the changing table in the bathroom which is accessible to children. Cert rep also observed one of the Diaper rash cream's with expiration date 4/2025.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 5/22/25 Cert Rep noted the facility did not have a written policy which addresses the prevention and identification of 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. Conditions at the facility may not pose a threat to the health or safety of the children. The facility shall have a written policy which addresses: 1. Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma 2. Strategies for coping with a crying, fussing, or distraught child; and 3. The prevention and identification of child maltreatment.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During a renewal inspection on 5/22/25 Staff 4 had health assessments dated 3/22/23 and 4/10/2025. This is more than 24 months between health assessments. Staff reported Staff 4 continued to serve in a staff role between 3/31/25-4/10/25.

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.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep noted Staff 1's health assessment dated 5/28/24, was not signed by a physician, physician's assistant or CRNP.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep noted Staff 1 did not have emergency plan training from 2024 or 2025, Staff 2 had emergency plan training 3/18/24 and Staff 5 had emergency plan training 4/29/24. This is more than 12 months since the previous emergency plan training for these staff.

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: During a renewal inspection on 5/22/25 the facility's emergency plan letter to the parents did not address lockdown procedures or the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection on 5/22/25 Staff 1 and Staff 5 had more than 12 months between fire safety trainings. This is evidenced by documented fire safety trainings in the files for Staff 1(10/4/23, & 11/12/24) and Staff 5 (10/19/23 & 3/26/25).

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep observed peeling wall paint on the wall of the Large Room/Room 3 by the door to the Infant room/Room 2.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep noted more than 60 days between fire drills on two occasions: 8/2/24-10/2/24, and 10/2/24-12/2/24.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 5/22/25 Cert rep noted more than 30 days between fire detection testing on three occasions: 8/2/24-9/2/24, 10/2/24-11/2/24, and 12/2/24-1/2/25.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 6/14/2024, a video from 6/8/2024 was reviewed at the facility. Child #1 was observed to be left alone in the classroom three separate times on 6/8/2024 between 1:38 PM-1:44 PM. Each time, Staff #1 walked out of the classroom and returned about one minute later.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 6/14/2024, a video from 6/8/2024 was reviewed at the facility. Child #1 was observed to be left alone in the classroom three separate times on 6/8/2024 between 1:38 PM-1:44 PM. Each time, Staff #1 walked out of the classroom and returned about one minute later.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of three hours of PQAS-training regarding supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 6/14/2024, a video from 6/8/2024 was reviewed at the facility. Child #1 was observed to be left alone in the classroom three separate times on 6/8/2024 between 1:38 PM-1:44 PM. Each time, Staff #1 walked out of the classroom and returned about one minute later.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must address procedures for when a staff person is working alone in a classroom with a child or a group of children to ensure that the staff person does not leave the classroom. The policy must also address that the facility will not allow the use of physical discipline under .113(b) and include procedures for staff discipline in the event that a staff is found to use physical discipline. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures, and it must be documented in their files.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 6/14/2024, Staff #1 was observed on video from 6/8/2024 at 12:40 PM grabbing Child #1 by the arm quickly and placed the child on the floor between her legs. Staff #1 sat on a chair and made Child #1 sit on the floor. Staff #1 would not allow for Child #1 to get up for approximately 2 minutes. Staff #1 used her arms and legs to keep Child #1 sitting on the floor. It was also observed on video from 6/8/2024 at 1:27 PM, that Child #1 was trying to throw a stuffed animal at the other children in the room. Staff #2 grabbed the stuffed toy out of Child #1's hands. Child #1 walked over to the children and sat on the tabletop arms crossed and head down Staff #2 walked over to Child #1 and grabbed his upper left arm and pulled him off the table. Child #1 was pulling away and was trying to get back on to the tabletop. Staff #2 pushed Child #1 with his arm a few times and then had the child grabbed by his upper right arm holding him with one hand while pushing the table away with the other. Then Staff #2 had Child #1 by his left arm, using her right arm to grab his upper arm and her left arm to grab his forearm and pulled him away. As she did that the child dropped to the ground on his knees. Child #1 then pulled a chair over and began punching the chair. Staff #2 came from behind Child #1 and grabbed both of his upper arms to pull him up. Child #1 got up but pushed back against Staff #2. Staff #2, still holding the arms, pushed the child forward slightly and then let go.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 6/14/2024, Staff #1 was observed on video from 6/8/2024 at 12:40 PM grabbing Child #1 by the arm quickly and placed the child on the floor between her legs. Staff #1 sat on a chair and made Child #1 sit on the floor. Staff #1 would not allow for Child #1 to get up for approximately 2 minutes. Staff #1 used her arms and legs to keep Child #1 sitting on the floor. It was also observed on video from 6/8/2024 at 1:27 PM, that Child #1 was trying to throw a stuffed animal at the other children in the room. Staff #2 grabbed the stuffed toy out of Child #1's hands. Child #1 walked over to the children and sat on the tabletop arms crossed and head down Staff #2 walked over to Child #1 and grabbed his upper left arm and pulled him off the table. Child #1 was pulling away and was trying to get back on to the tabletop. Staff #2 pushed Child #1 with his arm a few times and then had the child grabbed by his upper right arm holding him with one hand while pushing the table away with the other. Then Staff #2 had Child #1 by his left arm, using her right arm to grab his upper arm and her left arm to grab his forearm and pulled him away. As she did that the child dropped to the ground on his knees. Child #1 then pulled a chair over and began punching the chair. Staff #2 came from behind Child #1 and grabbed both of his upper arms to pull him up. Child #1 got up but pushed back against Staff #2. Staff #2, still holding the arms, pushed the child forward slightly and then let go.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of two hours of PQAS-approved training on appropriate behavior management techniques while working with children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: It was observed and stated that the facility did not have a continuity of operations plan created as required.

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

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: File for facility person #3 contained a health assessment dated 9/13/18. No updated health assessment completed within the last 24 months was observed on file.

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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: File for facility person #2 did not contain the written results of a TB test. There was no initial or subsequent TB test results observed 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.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: File for staff person #5 contained a written heath assessment, but that assessment did not address whether an examination for communicable diseases was conducted and did not address the assessment of the person's suitability to provide child care. The questions to address these were left blank on the staff person's health assessment that was observed on file.

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

Regulation: 3270.171(a)/3270.171(c)

Description: Pick-up and drop-off points/Safe routes posted

Noncompliance Area: It was observed that the facility did not have pick up and drop off routes posted, and they did not provide annual written notification to their local traffic authority of the pick up and drop off routes around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: It was observed and stated that the facility did not provide to all parents of enrolled children information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(5)/3270.27(e)

Description: Emergency plan/Letter to parents

Noncompliance Area: It was observed at the time of inspection that infants and toddlers were in care, but the written emergency plan created by the facility did not contain accommodations for infants or toddlers. The facility also stated they provided a letter regarding the emergency plan to all enrolled families, but the letter observed did not include all required emergency plan details. The letter to parents was missing lockdown procedures and accommodations for infants and toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: File for staff person #1, #2, #3, and #6 did not contain documentation verifying that these facility persons received emergency plan training on an annual basis; there was no documentation on file of this training dated within the last 12 months.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #4, see code sheet for hire date, did not contain a completed NSOR verification certificate, and this staff person is outside of their 45 day provisional hire period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility until their completed NSOR verification certificate is received and placed on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Files for staff person #1 and #6 did not contain written documentation of a staff evaluation, completed by the director, within the last 12 months as required.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first aid kit in Room 3 did not contain 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.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed in the school age bathroom that the garbage can did not contain a lid.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: It was observed that the facility did not have written proof of purchase or an attestation statement on file for the interconnected smoke alarm system that was installed at the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #1 will have until 11/17/2023 to complete the required pre-service health and safety training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 will have until 11/17/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 10/17/2023, the fire drill/fire detection log showed that the fire detection system in the facility had not been manually tested since 9/15/2023.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 5/18/2023, a play dollhouse in the preschool area was observed to be cracked with sharp edges exposed.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 5/18/2023, Staff #2 was observed to be caring for children unsupervised. Staff #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/23/2018.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the mandated reporter training is completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 5/18/2023, the emergency contact information form for Child #1 did not include signed parental consent for emergency medical care for the child, and also did not include signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: On 5/18/2023, the facility did not have documentation on file to show that an emergency drill had been conducted in previous 12 months.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1, #2, #3 and #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons #1, #2, #3 and #4 shall complete the required one-hour 2022 update to the health and safety training by 6/17/2023.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 did not complete mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/19/2017. Staff #1 completed training on 11/15/2022. Staff #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/23/2018.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 will have until 6/17/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 5/18/2023, Staff #1, Staff #2 and Staff #3 all had current clearances on file. However, the clearances were not updated within 60 months as required by the CPSL. Staff #1 completed the state police clearance on 9/15/2022, the child abuse clearance on 11/10/2022 and the FBI clearance on 11/12/2022. The previous clearances on file for Staff #1 were dated as follows: 6/14/2017 for the state police and child abuse clearances and 6/15/2017 for the FBI clearance. Staff #2 completed the state police clearance on 4/17/2023 and the child abuse clearance on 5/2/2023. The previous clearances on file for Staff #2 were dated 3/27/2018 for the state police clearance and 4/11/2018 for the child abuse clearance. Staff #3 completed the state police clearance on 5/18/2023, the child abuse clearance on 4/7/2023 and the FBI clearance on 3/18/2023. The previous clearances on file for Staff #3 were dated as follows: 4/10/2018 for the state police, 10/25/2017 for child abuse and 10/18/2017 for the FBI.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Each individual clearance for all staff must be updated at least every 60 months.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 5/18/2023, the fire drill log showed that fire drills have not been conducted at least once every 60 days. The most recent fire drill documented was on 3/15/2023.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 5/18/2023, the fire drill/fire detection log showed that the fire detection system in the facility had not been manually tested since 7/14/2022.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Fire detection devices or systems must be manually tested and documented at least once every 30 days.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the Renewal Inspection on 5/12/2022, a cracked plastic playhouse with sharp edges exposed was observed on the outdoor playground.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During the Renewal Inspection on 5/12/2022, most recent health report on file for Child #1, an infant was dated 8/30/2021. See code sheet for date of enrollment.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the Renewal Inspection on 5/12/2022, the facility did not have written policies and procedures in place for the identification and the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Correction Required: As of 4/29/2022, a child care facility is required to have written policies and procedures in place for recognizing and preventing shaken baby syndrome, abusive head trauma, and child maltreatment. The operator must create written policies and procedures to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include strategies for coping with a crying, fussing, or distraught child: and address the prevention and identification of child maltreatment. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the Renewal Inspection on 5/12/2022, the most recent health assessment on file for Staff #3 was dated 11/21/2019.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the Renewal Inspection on 5/12/2022, Staff #6 did not have any written, nonfamily references on file. See code sheet for date of hire.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the Renewal Inspection on 5/12/2022, the following staff did not have documentation of completion of annual emergency plan on file within previous 12 months: Staff #1, Staff #2, Staff #3, Staff #4 and Staff #5. Staff #6 did not have documentation of completion emergency plan at initial employment. See code sheet for date of 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the Renewal Inspection on 5/12/2022, the following staff did not have documentation that they had completed 12 hours of annual child care training completed within previous 12 months: Staff #1, Staff #3, and Staff #5

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the Renewal Inspection on 5/12/2022, the following staff did not have staff evaluations on file that were completed during the previous 12 months: Staff #1, Staff #2, Staff #4 and Staff #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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the Renewal Inspection on 5/12/2022, peeling paint was seen in the preschool/toddler bathroom near the window.

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

Regulation: 3270.94(a)(1)/3270.95(a)

Description: Every 60 days/Devices must be compliant

Noncompliance Area: During the Renewal Inspection on 5/12/2022, the owner could not locate the fire drill log and fire detection log to show that fire drills have been conducted at least every 60 days and that the fire detection system has been tested at least every 30 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Noncompliance Area: A renewal inspection was conducted on 7/29/2020. At that time, an empty toy box was observed on the playground with about an inch of dirty, standing water in it.

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: A renewal inspection was conducted on 7/29/2020. At that time, the lid on the trash can used for diapering in the infant area had broken off.

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

Noncompliance Area: At the time the renewal inspection was conducted, the files Facility Person #1, Facility Person #2, Facility Person #3 and Facility Person #4 contained National Sex Offender Registry clearances (NSOR) dated 7/13/2020. According to the CPSL, all staff were required to have the NSOR on file by 7/1/2020. Facility Person #4 did not have mandated reporter training on file conducted within the past five years. The last training on file was dated 1/23/15. The file for Facility Person #3 reflects a hire date of 11/25/19. The child abuse clearance for Facility Person #3 was dated 2/6/2020 and the file did not contain a request for the clearance. The mandated reporter training was dated 7/20/2020.

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

Noncompliance Area: At the time the renewal inspection was conducted, the file for Facility Person #2 did not contain documentation of education or experience.

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.

Noncompliance Area: A renewal inspection was conducted on 5/17/19. At that time, the operator did not have verification that the rubber unitary playground surface meets the ASTM test standards 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: A renewal inspection was conducted on 5/17/19. At that time, the cribs in the infant room were not labeled with each child's name.

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

Noncompliance Area: A renewal inspection was conducted on 5/17/19. At that time, an infant was observed sleeping in a crib that did not have two feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: A renewal inspection was conducted on 5/17/19. At that time, the following health reports in the children's files did not contain a flu vaccine conducted within the past year or a letter of exemption. Child #1: 3/21/18, Child #2: 1/23/18, Child #3: 11/6/14.

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.The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code 27.77.

Noncompliance Area: A renewal inspection was conducted on 5/17/19. At that time, a trash can containing dirty diapers was observed on the playground. The trash can was not lidded.

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

Noncompliance Area: A renewal inspection was conducted on 5/17/19. At that time, the changing pad in the bathroom was observed to be ripped and unable to be cleaned properly after use.

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: A renewal inspection was conducted on 5/17/19. At that time, there was not written statement for formula and feeding schedule for the infants in care.

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

Noncompliance Area: A renewal inspection was conducted on 5/17/19. At that time, the first-aid kit on the child care van did not contain gloves.

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.A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: An unannounced inspection was conducted on 8/20/18. At that time, a small plastic bag was observed in the lowest cubby in the infant area and was accessible to the infants and toddlers in care.

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

Noncompliance Area: An unannounced inspection was conducted on 8/20/18. At that time, Phytoplex Z-Guard, labeled "Keep out of reach of children" was observed in an open backpack on a hook in a child's cubby. This was accessible to the toddler 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: An unannounced inspection was conducted on 8/20/18. At that time, peeling paint was observed on the purple half wall next to the refrigerator in the preschool room.

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

Noncompliance Area: A renewal inspection was conducted on 5/4/18. At that time, four exposed bolts were observed on the playground fencing.

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: A renewal inspection was conducted on 5/4/18. At that time, a plastic bag was observed in the bottom shelf of an unlocked filing cabinet and was accessible to the toddlers in the classroom.

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

Noncompliance Area: A renewal inspection was conducted on 5/4/18. At that time, soiled diapers were observed in a plastic bag tied to the railing leading to the playground outside the infant room door.

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

Noncompliance Area: A renewal inspection was conducted on 5/4/18. At that time, water stained ceiling tiles were observed in the bathroom and in the preschool room (room to right of entrance).

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: A renewal inspection was conducted on 5/4/18. At that time, peeling paint was observed on an outlet cover in the infant room.

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

Noncompliance Area: STAFF #1, #2, AND #3, ALL NEW HIRES WITHIN THE PAST YEAR, DID NOT COMPLETE HEALTH ASSESSMENTS AND TB TESTING UNTIL AFTER THEY BEGAN WORKING IN CHILD CARE.

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

Noncompliance Area: STAFF #3 WAS OBSERVED TO CHANGE A DIAPER FOR AN INFANT AND THE STAFF PERSON'S HANDS WERE NOT WASHED AFTER THE CHANGING.

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

Noncompliance Area: RECORDS FOR STAFF PERSONS #1 AND #2 DO NOT CONTAIN COMPLETE PROOF OF EDUCATION AND EQUIVALENCY IN THE UNITED STATES FROM EDUCATION PRIOR TO SERVICE AT THE FACILITY.

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

Noncompliance Area: HAND SANITIZER WAS OBSERVED IN REACH OF CHILDREN IN THE SCHOOL AGE CLASSROOM AND IN THE SCHOOL AGE BATHROOM. WHITE OUT WAS OBSERVED TO BE ACCESSIBLE IN THE SCHOOL AGE CLASSROOM. ALBUTEROL AND FOLIC ACID WERE OBSERVED IN THE SMALL CUBBY AREA BY THE BATHROOM IN BAGS 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: TWO FIRST-AID KITS AT THE FACILITY, ONE IN THE INFANT ROOM, AND ONE IN THE VAN, WERE OBSERVED TO BE MISSING TWEEZERS.

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

Noncompliance Area: AN OUTLET COVER IN THE INFANT ROOM WAS OBSERVED TO BE CRACKED AND HAVE A SHARP PLASTIC EDGE ACCESSIBLE TO CHILDREN. BOLTS WERE OBSERVED TO BE UNCOVERED ON THE SILVER FENCE ON THE PLAYGROUND, ACCESSIBLE 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.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.