DARLENES WEE CARE 4 KIDS INC

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed room 8 storing broken stroller and bike.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During inspection when trying to turn on girls bathroom sink, the bathroom sink handle fell off.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Observed girls bathroom and room 1 missing handwashing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.15(b)

Description: Building Codes

Noncompliance Area: On 1/14/26, it was observed that the facility sustained significant water damage to the floors, walls, ceilings and other surfaces throughout the facility causing major disrepair and presenting a visible hazard rendering the children unable to receive care in the facility. On 1/14/26, Upper Darby Licenses and Inspections submitted written verification of informing the operator on 1/13/26 of all the matters that must be resolved prior to L&I approving re-occupancy of the 3rd floor space where the child care facility is located.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter. Operator must obtain written Upper Darby L&I approval before re-occupying the 3rd floor space where the child care facility is located.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 1/14/26, during an unannounced inspection, it was observed that the facility sustained significant water damage to the floors, walls, ceilings and other surfaces throughout the facility causing major disrepair and presenting a visible hazard rendering the children unable to receive care in the facility. On 1/13/26, Upper Darby Licenses and Inspections submitted written verification of informing the operator of all the matters that must be resolved prior to L&I approving re-occupancy of the 3rd floor space where the child care facility is located.

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. All repairs must be completed prior to children returning to care in the facility. Operator must obtain written Upper Darby L&I approval before re-occupying the 3rd floor space where the child care facility is located.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Children in the preschool classroom area were observed napping on rest equipment that was not labeled for the use of a specific child and used only by the specified child.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (1, #2, #3, #4 and #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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care 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. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified. Ensure that this notification is sent annually.

Regulation: 3270.181(d)

Description: Dated signature affixed

Noncompliance Area: Several children's six-month review of the emergency contact information and the financial agreement did not contain the parent's signature, only the typed name. They were not electronically signed signatures. (#1, #2, #3, #4, #5, and #6)

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information that contains the parent's signature for the identified children. Ensure that all children's reviews contain the required parental signatures as specified. Ensure that this information is updated every 6 months for all enrolled children as specified.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not 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.

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. 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 childcare office.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no written record of an emergency drill completed annually as specified in these regulations.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Conduct and submit written verification that an emergency drill had been completed annually.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Several facility person's records did not include written verification of initial and/or annual emergency plan training/written verification that the emergency plan training was completed at the time of initial employment. (Initial: #6, #7, #8, #11, #13) (Annual: #14)

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted at a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. Post the emergency plan at a conspicuous location in the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedure /updates (lockdown and accommodations) to the plan as required in 3270.27 subsection a.

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. Revise the letter given to parents to ensure that it explains the emergency procedures/ and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 12 hours of child care training. (#10)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff persons.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Several staff person's records did not contain written verification of annual fire safety training. (#1, #2, #4, #5, #9, #10)

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. Obtain and submit written verification of annual fire safety training for the identified staff persons.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's record did not contain the required CPSL hiring documents. (#3-NSOR more than 60 months old) (#4-FBI more than 60 months old)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #3 and #4 cannot work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Four children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, and #4)

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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report for a young toddler was dated more than 6 months prior to the first day of attendance at the facility. Child was enrolled on 12/5/23 and the health report on record was dated 6/27/24. (#1)

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. Revise and submit written policies and procedures to ensure that initial health reports for young toddlers are completed and dated no more than 6 months prior to the first day of attendance.

Regulation: 3270.151(a)

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

Noncompliance Area: One staff person's record/s did not contain a health assessment including negative TB skin testing completed within 12 months prior to the date of hire. Hire date 7/15/24- date of health report 11/5/22. (#2)

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. Obtain and submit a current up-to-date health assessment for the identified staff person including negative TB skin testing. Ensure that health assessments contain the required information and are completed within the required timeframes.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Amend the facility emergency plan to include lock down procedures. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedure as required in 3270.27 subsection a

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. . Revise the letter given to parents to ensure that it explains the emergency procedures/ and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents. (#1-no signed DISCLOSURE STATEMENT- record indicated it was "not needed".

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility until the singed DISCLOURE STATMENT has been obtained, completed and submitted. Submit a copy of the required, completed CPSL clearance documents for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents, including the signed DISCLOSURE STATEMENT, within the required timeframes in accordance with the CPSL. Revise CPSL policies to indicate that DISCLOSURE STATEMENTS are completed for all facility persons. Submit a copy of the revised CPSL policies.

Regulation: 3270.35(b)(3)

Description: Associate's + 2 yrs

Noncompliance Area: One staff person's record did not contain written verification of education for their group supervisor position. The record did not indicate that the degree had been conferred. (#1)

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. Obtain and submit written verification of education for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: One staff person's record did not contain written verification of education for their assistant group supervisor position. (#3)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Obtain and submit written verification of education for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.35(b)(2)

Description: Bachelor's, 30 credits + 1 yrs

Noncompliance Area: Two staff person's record did not contain written verification that their bachelor's degree included 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and experience for their group supervisor position. (#3)

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. Obtain and submit written verification of related credits for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: On 3/1/24, there were 84 children in attendance and the facility lacked a sufficient number of qualified group supervisors. There were not at least two qualified group supervisors hired by the facility.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Hire additional group supervisors to ensure that there is at least a group supervisor for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Ensure that they qualify for their group supervisor position.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 1/2/24, child #1 sustained an injury to her arm (nursemaid's elbow) while in care at the facility and the staff persons (#1 and #2) assigned responsibility for her care had no knowledge of how the child was injured.

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 1/2/24, child #1 sustained an injury to her arm (nursemaid's elbow) while in care at the facility and the staff persons (#1 and #2) assigned responsibility for her care had no knowledge of how the child was injured.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of DHS approved training regarding supervision of children. Submit written verification of completed training for all staff persons.

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: On 1/2/24, child #1 was taken to the ER for treatment of an injury to her arm (nursemaid's elbow). On 1/3/24, operator was informed by the parent that child was taken to the ER for treatment of her injured arm. Operator did not submit a telephone notice to the appropriate regional office within 24 hours of child receiving emergency room treatment. Incident was reported to Regional Office on 1/11/24.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. Develop and submit written policies and practices regarding proper notification as specified in this regulation.

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: On 1/2/24, child #1 was taken to the ER for treatment of an injury to her arm (nursemaid's elbow). On 1/3/24, operator was informed by the parent that child was taken to the ER for treatment of her injured arm. Operator did not submit a telephone notice to the appropriate regional office within 24 hours of child receiving emergency room treatment. Incident was reported to Regional Office on 1/11/24.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. Develop and submit written policies and practices regarding proper notification as specified in this regulation.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facilities written policies on shaken baby abusive head trauma and child maltreatment did not include the identification and prevention 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. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: One staff person's record did not contain verification of completed CCDBG training (10 hour) required prior to working with children unsupervised. (#5)

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. Staff persons must complete the CCDBG training that is required prior to working with children unsupervised. Submit written verification of the completed training.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not 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.

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. 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 childcare office.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: One staff person's record did not include written verification that the emergency plan training was completed at the time of initial employment. (#1 hired 9/9/23- completed 1/5/24)

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. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and documented upon initial employment.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#2-FBI clearance more than 60 months old when updated) (#4-hired 9/18/23- request for NSOR not completed prior to working with children)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff/facility persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3270.35(b)(2)

Description: Bachelor's, 30 credits + 1 yrs

Noncompliance Area: Two staff person's record did not contain written verification that their bachelor's degree included 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and experience for their group supervisor position. (#2 and #3)

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. Obtain and submit written verification of related credits for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: On 3/1/24, there were 84 children in attendance and the facility lacked a sufficient number of qualified group supervisors. There were not at least two qualified group supervisors hired by the facility.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Hire additional group supervisors to ensure that there is at least a group supervisor for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Ensure that they qualify for their group supervisor position.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection, cert rep observed damaged floor tiles in the preschool classroom.

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

Noncompliance Area: During renewal inspection on 1/27/20, cert rep observed an out of date physical in the file of Child 1.

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: During renewal inspection on 1/27/20, cert rep observed physical in the file of Child 2 that did not include a statement that the child is able to participate in child care.

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

Noncompliance Area: During renewal inspection on 1/27/20, cert rep observed 3 vans being used to transport children that are 12 passenger vans.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Noncompliance Area: During renewal inspection on 1/27/20, cert rep observed documentation of mandated reporter training from an unaccepted training entity in the file of 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: During renewal inspection on 1/27/20, cert rep observed missing documentation of 6 hours of child care training in the files of Staff members 2, 3, 4, 5, and 6.

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

Noncompliance Area: During renewal inspection on 1/27/20, cert rep observed damaged tile floor in the rear Pre-K/Kindergarten room as well as damaged tile in the middle of the Pre-K room under the exit sign.

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

Noncompliance Area: During renewal inspection on 1/27/20, cert rep observed chipped paint on the back wall and windowsill of the older toddler classroom.

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

Noncompliance Area: During renewal inspection on 1/27/20, cert rep observed an industrial trash receptacle blocking the rear emergency exit staircase.

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

Noncompliance Area: During a complaint investigation on 9/18/19, cert rep discovered the refrigerators used for food storage at the facility had thermometers reading over 45 degrees F. The refrigerator on the left side was not working at all, though it still had food in it, and was reading at 75 degrees F. The refrigerator on the right was running, but the thermometer read 55 degrees F.

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

Noncompliance Area: During a complaint investigation on 9/18/19, cert rep discovered only one working refrigerator at the facility for 236 enrolled children, an insufficient number.

Correction Required: A facility shall provide a sufficient number of refrigerators to contain foods which require refrigeration.

Noncompliance Area: During complaint investigation on 9/18/19, cert rep observed an incident report that was filled out properly, however, the original report was kept in the child's file. There was no copy for an accident file, nor was it known if the parent received a copy, though the original should be given to the parent.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: During a complaint investigation on 9/18/19, cert rep discovered an infant room holding 9 children with only 2 staff members, a mixed age (4-5 years old) area holding 25 children with only 2 staff, and a 1 year old area holding 14 children with only 2 staff.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding staff:child ratios. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: During a complaint investigation on 9/18/19, cert rep discovered an infant room holding 9 children with only 2 staff members, a mixed age (4-5 years old) area holding 25 children with only 2 staff, and a 1 year old area holding 14 children with only 2 staff.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding staff:child ratios. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: On 6/21/19, a young toddler was dropped off at 6:30am and displayed symptom of illness i.e. crying and refusing to eat or drink anything throughout the day, even though offered food and drink multiple times. Child usually had a good appetite. Parent was not notified until 12:30pm when told child was being taken to the hospital after waking up crying, coughing, breathing abnormally (rapid, heavy, panting) and vomiting.

Correction Required: If a child becomes ill at the facility, the operator shall notify the child's parent as soon as possible. Develop a written protocol regarding notifying parents when children display unusual behaviors which may indicate that the child is ill.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#1 and #2)

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). Complete and submit a current up-to-date child service report for the indicated child/children. Ensure that all child service reports are completed every 6 months in accordance with this regulation. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several/One staff person's record/s did not contain the required CPSL hiring documents. (#1-hired 9-17-19 old out-dated signed DISCLOSURE STATEMENT)(#2-hired 10-19-18- old out-dated signed DISCLOSURE STATEMENT)(#3 hired 12-17-18- old out-dated signed DISCLOSURE STATEMENT)(#4-hired 6-26-18- old out-dated signed DISCLOSURE STATEMENT)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #3 and #4 may not work in a child care position at the facility until the updated CPSL documents have been obtained and submitted as specified. Submit a copy of the required CPSL clearance documents for the identified staff persons. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all newly hired facility persons have the current, required CPSL clearances documents in accordance with the CPSL.

Noncompliance Area: One staff person's record did not contain written verification of education and for their assistant group supervisor position. The document submitted was illegible. (#1)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit acceptable, legible written verification of education for the identified staff person.

Noncompliance Area: The facility water fountain was in disrepair.

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. Repair, replace or remove. Submit written verification of compliance.

Noncompliance Area: A child was observed resting in a crib in the infant room and there was not at least 2 feet of space on three sides of the crib. (#4) Documentation reviewed did not contain verification that staff were notified of this requirement that included the signature of each staff person. CONTINUING DEFICIENCY

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. Notify all staff of this requirement and submit written notification that includes the signature of each staff person.

Noncompliance Area: One staff person had been assigned the responsibility of caring for a group of 6 older toddlers and could not name all of the children. (#4) Documentation reviewed on 8/13/18 did not contain written verification of the completed training for all facility staff persons. CONTINUING DEFICIENCY

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. Train all facility staff persons in proper supervision of children, including knowing the names of the children in their assigned group. Submit written verification of the completed training for all facility staff persons.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#2 and #3) Documentation reviewed on 8/13/18 did not contain revised written policies and procedures regarding the completion of child service reports to ensure ongoing compliance. CONTINUING DEFICIENCY

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). Ensure that all child service reports are completed every 6 months in accordance with this regulation. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months. (#1) Documentation reviewed on 8/13/18 did not contain written verification of a current up-to-date health report for the indicated child. CONTINUING DEFICIENCY

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One facility person's record did not contain at least two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#13)

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. Obtain and submit the written references for the identified facility person as specified in this regulation.

Noncompliance Area: One person identified as a staff person was not at 18 years of age or older. (#7) Documentation reviewed on 8/13/18 did not include verification of the revised written policy statement ensuring that all staff persons will be at least 18 years of age or older. CONTINUING DEFICIENCY

Correction Required: A staff person shall be 18 years of age or older. Revise and submit a policy statement ensuring that all staff persons will be at least 18 years of age or older.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#5-hired 5/29/18-no proof of request for FBI (fingerprinting) prior to working with children)(#7- hired 6/8/18- no proof of requests for FBI (fingerprinting) prior to working with children)(#8- hired 4/2/18- no proof of request for STATE POLICE, CHILD ABUSE and FBI prior to working with children) (#10-hired 6/11/18-no proof of requests for CHILD ABUSE and FBI (fingerprinting) prior to working with children. Documentation reviewed on 8/13/18 did not contain revised written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL and written verification of completed DHS approved training in the CSPL hiring requirements for the facility director and administrative staff. CONTINUING DEFICIENCY.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification for the completed training.

Noncompliance Area: One staff person's record did not contain written verification of experience for their assistant group supervisor position. (#12)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of experience for the identified staff person. Revise and submit written policies and procedures to ensure that staff persons records includes verification of education and experience.

Noncompliance Area: A child was observed resting in a crib in the infant room and there was not at least 2 feet of space on three sides of the crib. (#4)

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. Ensure that there is 2 feet of space on three sides of resting equipment when in use. Notify all staff of this requirement and submit written notification that includes the signature of each staff person.

Noncompliance Area: One staff person had been assigned the responsibility of caring for a group of 6 older toddlers and could not name all of the children. (#4)

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. Train all facility staff persons in proper supervision of children, including knowing the names of the children in their assigned group. Submit written verification of the completed training for all facility staff persons.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#2 and #3)

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). Complete and submit a current up-to-date child service report for the indicated children. Ensure that all child service reports are completed every 6 months in accordance with this regulation. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: Children were observed being cared for in the school-age child care space and their emergency contact information was not present.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Ensure that emergency contact information is present in all child care spaces in which children are receiving care. The emergency contact information will be placed in all child care spaces in which children are receiving care.

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months. (#1)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One staff person's health assessment was not signed by a physician, physician's assistant or CRNP and did not include the individual's professional title. (#4)

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. Obtain and submit a current up-to-date health assessment signed by a physician, physician's assistant or CRNP that includes the individual's professional title for the identified staff person.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#4)

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

Noncompliance Area: An infant bottle observed in the infant room was not labeled with the child's name. (#5)

Correction Required: Disposable nursers and bottles shall be labeled with the child's name. Label the bottle with the child's name and ensure that all children's bottles are properly labeled.

Noncompliance Area: One staff person's record did not contain verification of age. (#6)

Correction Required: A facility person's record shall include verification of age. Obtain and submit written verification of age for the identified staff persons. Ensure that all facility staff records contain written verification of age.

Noncompliance Area: One staff person's record did not contain written verification of initial/annual emergency plan training. (#11)

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. Obtain and submit written verification of initial/annual emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

Noncompliance Area: One person identified as a staff person was not at 18 years of age or older. (#7)

Correction Required: A staff person shall be 18 years of age or older. The identified person must be removed as a staff person until they are 18 years of age. Revise and submit a policy statement ensuring that all staff persons will be at least 18 years of age or older.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training. (#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. Obtain and submit written verification of annual fire safety training for the identified staff person.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#5-hired 5/29/18-no proof of request for FBI (fingerprinting) prior to working with children)(#7- hired 6/8/18- no proof of requests for FBI (fingerprinting) prior to working with children)(#8- hired 4/2/18- no proof of request for STATE POLICE, CHILD ABUSE and FBI prior to working with children) (#10-hired 6/11/18-no proof of requests for CHILD ABUSE and FBI (fingerprinting) prior to working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #7 and #10 may not work in a child care position at the facility until the required CPSL documents have been obtained and submitted as specified. Submit a copy of the required CSL clearance documents for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification for the completed training.

Noncompliance Area: The facility lacked a qualified director. The record of the person identified as the facility director did not contain written verification of experience for their director position. (#3)

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of experience for the identified staff person.

Noncompliance Area: One staff person's record did not contain written verification of experience for their group supervisor position. The record did not document at least 2 years of experience. (#9)

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of experience for the identified staff person.

Noncompliance Area: Several staff person's record did not contain written verification of education and experience for their assistant group supervisor position.(#1, #5, #10 and #11). The record did not document at least 2 years of experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and experience for the identified staff persons.

Noncompliance Area: The first aid kit in the young toddler area lacked scissors.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Replenish the first aid kit and ensure that all first kits has the required contents as specified in this regulation.

Noncompliance Area: The sink in the young toddler area used by children were not at a proper height for the young toddlers and the step stool was not at a sufficient height to make it easily approachable.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. Obtain a platform or steps at an appropriate height to make the sink more approachable for the young toddlers.

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months. (#1)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: Child #1 has asthma and on 5/30/18 had been coughing all day as reported by staff #1 and communicated to parent at pick-up. The operator failed to facilitate in the administration of the child's asthma medication, which was to be administered as needed for cough or wheezing. Staff #2, who was supervising the child, was not aware of the child's condition. In addition, the medication was locked at the front desk and no staff person was present at the front desk to facilitate administration of the medication.

Correction Required: The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs. The operator must develop and submit a written protocol for making reasonable accommodations to facilitate the administration of medication for children with special needs to include notifying staff persons responsible for the supervision of the child and designating staff persons responsible for proper administration and access to the medication.

Noncompliance Area: The facility accepted prescription medications for two children that were not in the originally labeled containers. (#1 and #2)

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Obtain and submit a copy of the original labeled container for both children's medication and ensure that all medication is received in the original labeled container with the child's name. Revise and submit a written copy of the facility's policies and procedures regarding the acceptance of medication in accordance with these regulations.

Noncompliance Area: Albuterol medication was administered to a child between 1/25/17 and 7/12/17 and the medication log did not include the name of the medication. On 6/1/08 another medication log was completed for administration of medication for the same child and it did not contain the name of the medication. Both forms listed the medication as "inhaler". (child #1)

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A medication log shall include the name of the medication.

Noncompliance Area: A copy of the PA Code 320 regulations were posted inconspicuously behind a closed, locked glass encasement.

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

Noncompliance Area: One staff person's record did not contain written verification of initial emergency plan training. (#1)

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. Obtain and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually. Revise and submit written policies and procedures to help ensure ongoing compliance.

Noncompliance Area: The facility lacked a qualified director. The record of the person identified as the facility director did not contain written verification of experience for their director position. The record did not document at least 3 years of experience.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. Obtain and submit written verification of experience for the identified staff person.

Noncompliance Area: One facility person identified as a staff person was not at 18 years of age or older. (#6)

Correction Required: A staff person shall be 18 years of age or older. The identified person must be removed as a staff person until they are 18 years of age. Revise and submit a policy statement ensuring that all staff persons will be at least 18 years of age or older.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1-hired 7/15/17-no completed FBI-request only) (#2- hired 3/12/18- illegible-poor copy of FBI)(#3- hired 1/22/18- no attached rap sheet) (#4-hired 9/25/17-no signed DISCLOSURE STATEMENT) (#5-hired 1/6/18- no signed DISCLOSURE STATEMENT) (#6-hired 1/16/18-no request for FBI fingerprinting prior to working with children)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #4, #5 and #6 cannot work in a child care position at the facility until the required CPSL documents have been obtained and submitted as specified. Submit a copy of the required CSL clearance documents for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL.

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1)

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. Obtain and submit current up-to date emergency contact and financial agreement information for the identified child. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: Several staff persons records did not include written verification of emergency plan training at the time of initial employment and annually. (#2, #4, and #7-completed 4-5 months after date of hire) (3-no annual)

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. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and documented at the time of initial employment and annually. Submit written verification of the completed training for all identified facility persons.

Noncompliance Area: Several staff person's records did not contain written verification of annual fire safety training. (#1, #3, #5, #6, #7, #8, #9,#10, #11, #12 and #13)

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.Obtain and submit written verification of annual fire safety training for the identified staff persons.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3400 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1- hired 6/20/16- no mandated reporter training) (#4- hired 12/5/16 -no proof of request for CHILD ABUSE prior to working with children) (#11-hired 12/18/16-mandated reporter training not completed within 90 days, completed 5/13/17)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances and mandated reporter training in accordance with the CPSL. Obtain and submit a copy of the completed mandated reporter training for the identified staff person. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification for the completed training.

Noncompliance Area: The carpet in the young toddler room was stained and in need of cleaning. The main floor in the facility was stained and scuffed and need of cleaning.

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. Clean the carpet and floors and ensure that surfaces in the facility are kept clean.

Noncompliance Area: A review of records indicated that on 4/12/17, an injury was noticed on a child while in care and the facility failed to provide the parent an original report of the incident/s on the day of the incident. (child#1) (staff #1)

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.Ensure that parents are provided the original report on the day of the incident. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.