Deans Early Education Academy

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: On January 18, 2024 during the renewal inspection, the emergency contact form and fee agreement of Child #2 did not contain evidence of being reviewed and updated at least once in a 6 month period, the forms were dated 6/13/2023.

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

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: On January 18, 2024 during the renewal inspection, the file of Child #1 did not contain evidence of an updated health assessment, the health assessment on file was dated 12/8/2022.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On January 18, 2024 during the renewal inspection, the file of Staff #2 did not contain evidence of the Health and Safety 1 hour update.

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: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On January 18, 2024 during the renewal inspection, the file of Staff #3 contained verification of education from a foreign country that was translated but not evaluated. The file of Staff #4 contained a letter verifying education from a foreign country that stated staff attended school.

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.

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

Description: Age and Training

Noncompliance Area: On January 18, 2024 during the renewal inspection, the file of Staff #1 did not contain evidence of being trained in Pediatric First Aid/CPR.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On January 18, 2024 during the renewal inspection, the file of Staff #4 did not contain evidence of FBI clearance and NSOR certificate. There was no copy of application on file for FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #4 may not work in a child care position at the facility.

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

Description: Emergency plan/Plan reviewed/updated annually

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan was not updated to include specific staff duties per announcement c-22-04, issued 4/19/22 and did not include 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. The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MARCH 15, 2022, THE RECORD REVIEWED FOR STAFF PERSON #1 DID NOT INCLUDE COMPLETED REQUIRED HEALTH AND SAFETY TRAINING TOPICS BEFORE A CHILD CARE STAFF CAN CARE FOR CHILDREN UNSUPERVISED.

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)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MARCH 15, 2022, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON #1 WAS NOT DATED WITHIN A 24 MONTH PERIOD (DATED 08.08.2019).

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.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: 3270.192(5)

Description: Two written references

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MARCH 15, 2022, THE RECORD REVIEWED FOR STAFF PERSON #2 DID NOT INCLUDE TWO WRITTEN NONFAMILY REFERENCES FROM INDIVIDUALS ATTESTING TO STAFF PERSON #2 SUITABILITY TO SERVE AS A FACILITY PERSON.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MARCH 15, 2022, CERTIFICATION REPRESENTATIVE OBSERVED THAT THE CERTIFICATE OF COMPLIANCE AND DHS REGULATIONS WERE NOT POSTED IN A CONSPICUOUS LOCTION USED BY PARENTS.

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)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MARCH 15, 2022, THE EMERGENCY PLAN REVIEWED DID NOT INCLUDE 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTION ON FEBRUARY 08, 2022, THE MANDATED REPORTER TRAINING CERTFICATE REVIEWED FOR STAFF PERSON #1 WAS NOT DATED WITHIN A 60 MONTH PERIOD (DATED 06.13.16),

Correction Required: THE OPERATOR SHALL COMPLY WITH THE CPSL AND WITH CHAPTER 3490 (RELATING TO PROTECTIVE SERVICES). UPDATED CLEARANCES ARE REQUIRED EVERY 60 MONTHS FROM THE DATE OF THE RESPECTIVE EXISTING CLEARANCES 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: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: DURING THE RENEWALINSPECTION ON MARCH 15, 2022, CERTIFICATION REPRESENTATIVE OBSERVED ROOM #3 HAD CHILDREN'S TOY AND PLAY EQUIPMENT STORED IN THE ROOM AND WAS NOT SET UP FOR CHILD CARE SPACE

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MARCH 15, 2022, CERTIFICATION REPRESENTATIVE OBSERVED NO OUTLET COVERS PLACED IN THE BOOKWORM CLASSROOM #5 ELECTRICAL OUTLETS.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MARCH 15, 2022, CERTIFICATION REPRESENTATIVE OBSERVED THE WATER TEMPERATURE IN THE LITTLE RACERS BATHROOM EXCEEDED 110 DEGREES F (TEMPERATURE RECORDED AT 130 DEGREES F)

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: At the time of inspection, sleep equipment being used by children, in the infant classroom and the two year old classroom; were observed with less than 2 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: At the time of inspection, during naptime a preschool school child was observed in the 2nd floor hall bathroom with the door closed while the staff member, supervising the child and 9 other preschool kids napping in the classroom; was standing at the classroom door down the hall. The distance from where the staff member stood at the classroom door and where the bathroom was located did not allow the staff member to properly supervise the child in the bathroom down the hall and the children napping in the classroom, at the same time.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: At the time of inspection, a 4 mouth old infant was observed in a crib on her stomach instead of her back, as recommended by the American Academy of Pediatrics.

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

Noncompliance Area: At the time of inspection, the emergency contact forms for child #3, #4 and #5 were missing either the name, address and/or telephone number of the child's physician or source of medical care.

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

Noncompliance Area: At the time of inspection, the emergency contact and financial agreement forms for child #2's were not dated, with the parents signature; with-in the last 6 months.

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

Noncompliance Area: At the time of inspection, the file for staff member #8, hired 2/25/15; did not include the initial health assessment with the initial TB results or the subsequent health assessment required 24 months after the initial assessment. Staff member #8's file included only 1 health assessment dated 8/28/19.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of inspection, the emergency contact form for child #1 did not have the parent signature for consent of emergency medical and minor first-aid.

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

Noncompliance Area: At time of inspection, the operator didn't have written documentation verifying initial emergency plan training for staff members #5, #6 and #7.

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

Noncompliance Area: At the time of inspection, non-compliances with the Child Protective Service Law was observed related to lacking required hiring documents for staff members #1 and #2. The file for staff member #1, hired 12-18-19; didn't include verification of receipt of the NSOR Verification Certificate. The file for staff member #2, hired 11-20-19; didn't include verification of receipt of the NSOR Verification Certificate.

Correction Required: Facility Person # -- may not work in a child care position at the facility. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, the file for staff member #1, #2, #3 and #4 hired as assistant group supervisors did not include two years of verified experience working with children.

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

Noncompliance Area: At the time of inspection, the facility's director, staff member #1; was observed functioning as a group supervisor in the preschool classroom.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.In a facility in which 45 or fewer children are enrolled, a director may also function as a group supervisor. An individual who functions in a dual capacity shall meet the responsibilities and qualifications of a director set forth in 3270.34(a) and (b).

Noncompliance Area: At the time of inspection, the facility did not have Child Service Reports for Child #1, #2, #3, #4, #6 and #8

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: At the time of inspection, the emergency contact and financial agreement form for child #1, #2, and #3 had not been updated or reviewed by the parents of the children in the last 6 months.

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

Noncompliance Area: At the time of inspection , the file for child #5, enrolled 5/10/19; included a vaccination record but a current health report was not observed.

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

Noncompliance Area: At the time of inspection, the health assessment observed for child #4, D.O.B 9/05/18 was dated 1/09/19.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection, the file for child #6 contained a health report dated 2/5/18.

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

Noncompliance Area: At the time of inspection, the file for staff person #7, #8, and #9 did not include current health assessments signed and dated within the last 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of inspection, the facility could not verify that the annual letter to the local traffic safety authority was sent to notify them of the location of the facility and the program's use of pedestrian/ vehicular 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 day care facility.

Noncompliance Area: At the time of inspection, the emergency contact form for child #7 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person.

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

Noncompliance Area: At the time of inspection, the facility did not have individual records for facility person #10, #11 and #12. Copies of the information regulated to be contained in the staff records were not observed for facility persons #10, #11 and #12 whom were observed supervising children.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of inspection, the operator had not documented in writing the annual review or update of the facility's emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: At the time of inspection, the facility did not have written verification of annual emergency plan training for staff member #2, #4, #5 and #9.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: At the time of inspection, the facility did not have verification of annual fire safety training for staff members #1.

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

Noncompliance Area: At the time of inspection, the files for staff members #7, #8 and #9 did not contain verification of the annual 6 clock hours of child care training.

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

Noncompliance Area: At the time of inspection, the facility did not have verification of annual staff evaluations for staff members #1, #2, #3, #5, #7, #8 and #9.

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

Noncompliance Area: At the time of inspection, the facility's director, staff member #2; was observed functioning as a group supervisor in the preschool classroom.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.A director may not function as a group supervisor in a facility in which more than 45 children are enrolled.

Noncompliance Area: At the time of inspection, the file for staff member #5 and #6 did not include verification of experience with children to qualify for the position of assistant group supervisor. Both staff members were missing 1 year of verified experience working with children.

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

Noncompliance Area: At lunch time, 13 children ages 2 and 3 years old were observed in the lunch room with only two staff members (staff members #5 & #10). Later that afternoon, 12 children ages 9 months to 1 year old were observed in the infant room with only two staff members (staff member #3 & #6) because staff member #11 went to lunch.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: At the time of inspection, toxic cleaning products were observed accessible to children in the toddler room bathroom.

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: At the time of inspection, the operator did not have verification of initial emergency plan training for staff member #1 hired 4/22/19.

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

Noncompliance Area: At the time of inspection, the files for staff member #1, #2 and #3 were missing verification of qualification for their positions as Assistant Group Supervisors. Staff member #1 was missing 1 year of verified experience working with children. Staff member #2 was missing verification of education and verification of two years of experience working with children.

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

Noncompliance Area: CERTIFICATION REPRESENTATIVE MEASURED OUTDOOR PLAY SURFACE COVERING THAT MEASURED FOUR INCHES

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: CERTIFICATION REPRESENTATIVE OBSERVED REFRIGERATOR IN INFANT CLASSROOM WAS MISSING A THERMOMETER

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: FILE RECORD FOR CHILD #2 DID NOT INCLUDE FEE AMOUNT ON THE FINANCIAL AGREEMENT

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

Noncompliance Area: FILE RECORD FOR CHILD #2 DID NOT INCLUDE RELEASE PERSON'S ADDRESS ON THE EMERGENCY CONTACT INFORMATION

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

Noncompliance Area: FILE RECORDS FOR CHILD #1 AND CHILD #3 DID NOT INCLUDE A SIGNED REVIEW AND UPDATE OF THE EMERGENCY CONTACT INFORMATION AND FINANCIAL AGREEMENT; CHILD #1 LAST COMPLETED 6/20/17 AND CHILD #2 LAST COMPLETED ON 10/12/16

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

Noncompliance Area: FILE RECORD FOR CHILD #3 DID NOT INCLUDE SIGNED CONSENT FOR MINOR FIRST AID PROCEDURES

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

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED TOXIC MATERIAL ACESSIBLE IN ROOM #5 (CORN HUSKERS LOTIONS AND UDDERLY SMOOTH HAND CREAM)

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: CERTIFICATION REPRESENTATIVE OBSERVED FACILITY FIRST AID KIT FOR ROOM #5 WAS ACESSIBLE TO CHILDREN

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED DOOR KNOB LOOSE IN ROOM #2 CAUSING POTENTAIL PINCHING HAZARD

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

Noncompliance Area: At the time of inspection, the agreement forms for child #2 were missing the date of the child's admission.

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

Noncompliance Area: At the time of inspection, child #6 records were missing the addresses for the release persons listed on the emergency contact form.

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

Noncompliance Area: At the time of inspection, the facility did not have a written plan posted which identifyied the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: At the time of inspection, the facility did not have a treatment plan for child #6's acute or chronic health problem.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Noncompliance Area: At the time of inspection, facility person #3 (volunteer) observed in the facility did not have an initial health assessment in their individual staff record.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of inspection, an unlabeled bottle was observed in the infant room.

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

Noncompliance Area: At the time of inspection, the facility did not have a document verifying notification sent to the local traffic safety authorities in writing 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 day care facility.

Noncompliance Area: At the time of inspection, the financial agreement and/or emergency contact form for child #2 and #4 were not reviewed or updated by the child's parent in the last 6 months.

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

Noncompliance Area: At the time of inspection, child #1's emergency contact form did not contain signed parental consent for emergency medical care or consent for admisntration of minor first-aid procedures by facility staff.

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

Noncompliance Area: At the time of inspection, the file for staff member #5 was missing one nonfamily references from individuals attesting to the person`s suitability to serve as a facility person.

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

Noncompliance Area: At the time of inspection, the file for staff member #1, hired 12/31/2015, did not contain a current PA State Criminal and FBI clearances. The file for staff member #2', hired 1/4/17 did not contain the rap sheet for the PA State Criminal clearance and the FBI clearance rap sheet was missing dispostion dispostion information.

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

Noncompliance Area: At the time of inspection, staff member #4's file did not include verification of two years of child care 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.

Noncompliance Area: At the time of inspection, around 10:00 a.m. 12 preschool children, ages 3 to 5 years old; were observed in the multipurpose room for breakfast with 1 staff member and a volunteer.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: At the time of inspection, the window in classroom 5 was observed with a crack in the storm window pane. In the boys bathroom on the second floor, rusty and peeling paint was observed on a small portion of the heating unit cover located near the floor.

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

Noncompliance Area: During the renewal inspection, a school-age (child #1 age 6) was observed unsupervised in the hall bathroom near the main office and entrance. The child had been escorted by the assigned teacher (staff member #6) to the infant/young toddler room near the playground and told to use the bathroom. Occasionally, when classes are using the outdoor playground they use the bathroom in the infant/young toddler area for emergency situations. However, staff member #6 left the area and failed to communicate to the staff in the infant/toddler room, the need to transfer responsibility for supervision of child #1. So child #1, unnoticed and unsupervised; left the infant/young toddler area and walked down the hall to the bathroom near the front door entrance.

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

Noncompliance Area: At the time of the follow up inspection, an individual record was not available for staff #6.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of the follow up inspection, staff members #3, #4 and #5 were missing initial health assessments with TB results. The health assessment in the file for staff member #3 did not have the patient's name at the top or any where on the form.

Correction Required: A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of the follow up inspection, the file for staff #5 hired 1/13/17 did not contian completed PA Criminal clearance information and does not contain a copy of a request for criminal history clearance or a signed employee disclosure statement required for a provisional hiring under the CPSL. Staff member #4, hired 10/22/16; did not have verification of completing the Mandated Reporter Training required by CPSL.

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

Noncompliance Area: At the time of the follow up inspection, staff members #3, #4, and #5 were missing 1 or 2 of the written nonfamily references from individuals attesting to the person's suitablity to serve as a facility person.

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

Noncompliance Area: At the time of the follow up inspection, the facility did not have verification initial emergency plan training for staff member #1, #2 and #3.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: At the time of the follow up inspection, the staff records for staff members #1, #2, #3, #4 and #5 were missing either verification of education and /or verification of experience. Staff member #3 did not have verification that her secondary education from another country is equivalent to U.S. Dept. of Education standards and was missing verification of two years of experience. Staff members #1, #2, #4 and #5 were missing verification of two years (2500 hours) of experience with children necessary for the position of 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 verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of inspection, the loose-fill wood chips covering the outdoor playground surface under the embedded sliding board was not 9 inches deep.

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: At the time of inspection, the cot chart reflecting specific children's names and the corresponding cot number was not observed for the preschool childrens rest equipment used and stored in the multipurpose room.

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: At the time of inspection, a school-age (child #1 age 6) was observed unsupervised in the hall bathroom near the main office and entrance. The child had been escorted by the assigned teacher (staff member #6) to the infant/young toddler room near the playground and told to use the bathroom. Occasionally, when classes are using the outdoor playground they use the bathroom in the infant/young toddler area for emergency situations. However, staff member #6 left the area and failed to communicate to the staff in the infant/toddler room, the need to transfer responsibility for supervision of child #1. So child #1, unnoticed and unsupervised; left the infant/young toddler area and walked down the hall to the bathroom near the front door entrance.

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

Noncompliance Area: At the time of inspection, staff member #8's individual staff record did not contain a current health assessment with TB results.

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.An adult health assessment must include a physical examination.

Noncompliance Area: At the time of inspection, the individual records for facility/ staff members #2, #3, #4,#5, #6 and #7 were not available on site at the facility.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of inspection, the staff record for staff #1 hired 5/1/2016, did not include the proper verification of education or experience necessary to qualify for a position as child care staff. Staff member #1's record contained a high school diploma and a degree in Basic Education both from the Dominican Republic but it didn't include an evaluation of the education to determine the equivalency to U.S. Department of Education standards.

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

Noncompliance Area: At the time of inspection, staff member #1 hired 5/1/16, did not have verification of completion of the Mandated Reporter Training required by CPSL.

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

Noncompliance Area: At the time of inspection, during lunch 12 to 12:30 PM; in the multipurpose room, 27 children ranging in ages from 2 to 5 years old were observed with only 4 staff members supervising the group. During this time the staff: child ratio were non-compliant with regulations. The correct ratio should have been 1 staff member to 6 children because of the age of the youngest child.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: At the time of inspection, preschool classroom #4, upstairs; was observed over the designated room capacity. Classroom #4 has a capacity of 10 children but around 11:30 am; 17 preschool children with 2 staff members were observed in the space doing learning center activities.

Correction Required: Measurement and use of inodoor child care spaceThe capacity established for indoor space may not be exceeded except when a meal is served in a space designated and measured as indoor child care space.

Noncompliance Area: At the time of inspection, the window in the multipurpose room had a slight crack in the glass.

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.