Dekontee Christian Day Care

Regulation: 3270.106(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. Staff #8 identified a child sleeping in a pack and play as an infant. The infant was observed sleeping with a pacifier attachment.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. 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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Based on the age of the following children, they were required to provide an updated health report at least every 6 months: Child #3 (previous 2/21/25, no update) and Child # 5 (previous 2/27/25, no update).

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Based on the age of the following children, they were required to provide an updated health report at least every 12 months: Child #2 (previous health report 12/12/23, immunization record 11/4/24, no current health report or immunization record).

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their health assessments at least every 24 months. Staff #4 did not participate in an updated health assessment at least every 24 months (previous 3/7/22, current 10/29/24).

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: 3270.166(1)

Description: Written statement

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. Staff #8 indicated the facility did not have written statements from the parents giving the formula/feeding schedules for the infants in care.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL requires staff to obtain an NSOR prior to working in a child care role at a facility. The following staff did not receive an NSOR clearance prior to working in a child care role at the facility: Staff # 5 (received 9/4/25) and Staff #7 (received 9/10/24). The CPSL requires staff to update their clearances at least every 60 months. the following staff did not update their NSOR clearance as required by the CPSL: Staff # 1, #2 and #6 (previous 9/3/20, no current) and Staff #3 (previous 9/2/20).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #3 and #6 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. A cot in the bathroom was found broken. The side pole and leg to this cot were not attached. This broken cot was identified and discussed with staff at the inspection. An acceptable plan of correction was received 8/23/24. A renewal inspection occurred at the facility on 9/27/24. In the outdoor play area, an adult size desk was found. This desk contained peeling paint and was rusty.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: A renewal inspection occurred at the facility on 9/27/24. A review of children's files was conducted. Regulation requires the fee to be charged listed in the child's file. Child #5 did not have listed in the file, their fee to be charged.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: A renewal inspection occurred at the facility on 9/27/24. A review of children's files occurred. Regulation requires the child's arrival and departure times to be listed in the file. Child #5 did not have listed their arrival or departure times in the file.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: A renewal inspection occurred at the facility on 9/27/24. A review of children's files was conducted. Regulation requires emergency medical care consent to be obtained on enrolled children. Child #5 did not have consent for emergency medical care in their file.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

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

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

Noncompliance Area: A renewal inspection occurred at the facility on 9/27/24. A review of child files was conducted. See the code sheet for the date of birth. Regulation requires children toddler and preschool age to provide a health report at least every 12 months. Child #4 is a preschool age child, and the file has not received an updated health report since 9/6/22.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection occurred at the facility on 9/27/24. A review of child files was conducted. Regulation requires enrolled children to have in their file consent for first aid. Child #5 did not have consent for first aid in their file.

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.

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

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility on 9/27/24. A review of staff files was conducted. Regulation requires staff to participate in pediatric first aid/CPR training prior to their current certification expiring. the following staff did not participate in pediatric first aid/CPR training prior to their current certification expiring: Staff #1 (previous 4/5/21, current 5/22/23) and Staff #2 (previous 4/5/21, current 5/22/23).

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. A bottle of Purell hand sanitizer was found accessible to children, on a half wall near the entrance door with an expiration date of 5/2023 and the bottle indicated to 'keep out of reach of children'. An acceptable plan of correction was received on 8/23/24. A renewal inspection occurred at the facility on 9/27/24. In the large right room, children's bags, hanging in their cubbies, were found containing sunscreen, bug spray and deodorant. These items indicated to 'keep out of reach of children". Children were observed to be receiving care in this classroom at the time of the inspection.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility on 9/27/24. A paperwork review was conducted. Regulation requires the facility's fire safety system to be tested at least every 30 days. The following drill lapsed occurring at least every 30 days: 8/2/24-9/3/24.

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

Regulation: 3270.104(a)/3270.106(a)

Description: Clean, good repair, proper size/Clean, age appropriate

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. A cot in the bathroom was found broken. The side pole and leg to this cot were not attached. This broken cot was identified and discussed with staff at the inspection.

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

Regulation: 3270.113(a)(1)/3270.113(a)(2)

Description: Staff assigned to specific children/Supervision on and facility premises

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. At arrival, Staff #1 was observed alone with 19 children ages preschool to school age. Staff #1 was observed alone with these children for roughly 10 minutes until Staff #2 arrived at the facility.

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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/9/24, an unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #2 was hired incorrectly per the CPSL using a volunteer state police clearance (dated 12/6/23) and a volunteer child abuse clearance (dated 6/12/23). Staff #2 was working in child care at the time of this inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #2 may not work in a child care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 8/9/24, an unannounced inspection occurred at the facility. A physical site review was conducted. At arrival at 11:20am, Staff #1 was observed alone in the facility with 19 children ages preschool to school age. Staff #1 was observed alone with these children for roughly 10 minutes until Staff #2 arrived at the facility at 11:30am.

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). The required staff:child ratios must be maintained at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 8/9/24, an unannounced inspection occurred at the facility. A physical site review was conducted. At arrival at 11:20am, Staff #1 was observed alone in the facility with 19 children ages preschool to school age. Staff #1 was observed alone with these children for roughly 10 minutes until Staff #2 arrived at the facility at 11:30am.

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). The Legal Entity/Director will establish a supervision/ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. This policy must also include a specific plan for what will occur at the facility if there are only 2 staff at the facility, and one staff needs to leave for any reason. The plan must include how the facility will meet the required staff:child ratios, as well as the minimum number of staff required in the facility at all times. This policy must be submitted to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and documentation must be kept on file at the facility.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 8/9/24, an unannounced inspection occurred at the facility. A physical site review was conducted. At arrival at 11:20am, Staff #1 was observed alone in the facility with 19 children ages preschool to school age. Staff #1 was observed alone with these children for roughly 10 minutes until Staff #2 arrived at the facility at 11:30am.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. Outlet covers were observed missing at the following locations: orange wall near cubbies (2) and yellow wall near bathroom (2). Children 5 years of age or younger were observed receiving care in this space.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. A bottle of Purell hand sanitizer was found accessible to children, on a half wall near the entrance door with an expiration date of 5/2023 and the bottle indicated to 'keep out of reach of children'.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. On the yellow wall, opposite to the entrance door, a patch of yellow paint was peeling along with the pink paint underneath. This area was identified and discussed with staff at the inspection. The door hinge to the bathroom was no longer secured to the door and was hanging from the top of the door frame.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, the thermometer in the refrigerator was broken.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, the emergency contact information for the children was not present in the child care spaces where they were receiving care.

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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, the child files were reviewed. The most recent health report on file for Child #2, a preschool child, was dated 4/2022.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, the child files were reviewed. The immunization record for Child #1 and Child #3 did not include administration of the flu vaccine or a letter of exemption.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 and Child #3 must be dismissed from care by close of business 9/26/23 and may only return to care when the immunization record including the flu vaccine is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, a discarded dirty diaper was observed in an unlidded trash can next to the sink in the main room.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, the child files were reviewed. The emergency contact information for Child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, two unlidded trash cans were observed in the main room that contained used tissues.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, three of the gates around the playground fence were observed to be broken.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted 9/26/23. At that time, the thirty day testing log was reviewed. The fire detection system was tested 1/17/23, 2/21/23, 3/22/23, 4/24/23, 5/24/23, 6/26/23, 7/26/23, 826/23, and 9/25/23, showing that the system has not been tested every thirty days. In addition, the smoke detector was chirping at the onset of the inspection.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 6/30/2023, Staff #1 admitted that she lightly tapped the forehead of Child #1 with a small object on 6/16/2023 while asking him what he was doing after Child #1 had taken a sippy cup from another child.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child number 1 does not have a record of growth and development assessment within the last 6 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff number 1 does not have a record of NSOR and State Police clearance.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the renewal inspection, the facility was unable to provide proof of date of purchase and installation of fire detection system as required by section 1016(c) of the act (62 P.S. §1016(c)).

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

Noncompliance Area: The emergency contact forms on file for children # 1, 2, and 3 did not have release persons' addresses.

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: According to CPSL announcement issued 9/18/2018, all staff hired prior to 9/30/2019 are required to have an NSOR verification on file no later than 7/1/20. This update also eliminated the 90 day provisional hire period for new staff unless the facility obtained a waiver. The NSOR verification for staff # 2, 3 and 4, all hired prior to 9/30/19 are dated 9/3/20. Staff person # 1 was hired on 12/30/2019 and their NSOR verification is dated 9/3/20. Without a provisional hire waiver on file, the NSOR verification was required at the time of hire.

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

Noncompliance Area: The pink slide is not secured to the plastic climber in the grassy play area; the landing area of this climber is cracked causing a pinch point. There are exposed bolts on the fence in the outdoor play area.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: During the renewal inspection, cert rep observed staff person # 1 change a child's diaper. The child's hands were not washed after the diaper changing and staff person # 1 used hand sanitizer instead of hand washing with soap and water.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: There is no written consent for the administration of minor first aid procedures or consent for emergency medical care on file for child # 1.

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: More than 12 months passed between fire safety training for all staff members. Fire safety training certificates were dated 8/7/2018 and then 9/4/19.

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: The foot pedal on the trash can in the child care space is broken off leaving a metal bar exposed.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: There is a fence post that is not secured into the ground, therefore the gate cannot be latched. The gate opens to the parking lot of the facility.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: There is a broken tile on the floor outside of the bathroom in the child care space. The baseboard molding on the wall behind the red table is not secured to the wall.

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: There is a plastic play house in the outdoor space with a broken seat inside making a sharp edge and pinch point.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: There is no amount to be paid on the fee agreement for child # 2.

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

Noncompliance Area: The child service reports for children # 1, 3, and 5 were completed in June 2017 and again in June 2018.

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: There is no physician's address on the emergency contact form for child # 2. There is no physician address or phone number on the emergency contact form for child # 5. There is no health insurance policy number on the emergency contact form for child # 4.

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

Noncompliance Area: There is no release persons address listed on the emergency contact forms for child # 1 and # 4.

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: Child # 2 started at the facility on 10/13/2017 and there is no health assessment on file.

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

Noncompliance Area: The emergency contact form on file for child # 5 was last reviewed by the parent in January, 2018.

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: There is no written consent for the administration of emergency medical care and minor first aid on file for child # 2.

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: The child abuse clearances for staff person # 1 were completed on 7/23/13 and again on 8/7/18. The FBI clearances on file for staff person # 1 were completed on 6/9//13 and again on 7/11/18. The FBI clearances on file for staff person # 2 were completed on 1/21/13 and again on 2/28/18. More than 5 years passed between clearances and neither staff person # 1 or # 2 were removed from child care.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The owner, director and any other staff person that are responsible for obtaining clearances must attend the existing provider orientation at the Regional Office on 11/7/2018. The owner and/or director will contact the regional office by 9/25/18 to register for the training.

Noncompliance Area: There is no tape or soap in the first aid kit in the infant area. There is no soap in the first aid kit in the preschool area.

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

Noncompliance Area: The plastic baseboard molding is peeling off in the corner by the entrance.

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

Noncompliance Area: On 7/9/17 a complaint investigation was conducted. After conducting staff interviews, it was determined that on 6/27/18, staff persons # 1 and # 2 transported 7 children in a 7 passenger vehicle. Three children were under the age of 7 and required booster seats; there were only 2 booster seats available. The vehicle only had safety restraints for 7 passengers. Including the staff, there was a total of 9 passengers in the vehicle. Staff person # 1 admitted that 4 children shared 2 safety restraints.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. 4581 (relating to restraint systems). Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: THERE IS NO CHILD SERVICE REPORT FOR CHILD #1; CHILD #1 STARTED AT THE FACILITY ON 4/3/17

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: CHILD #2 DOES NOT HAVE AN INITIAL HEALTH ASSESSMENT; CHILD #1 STARTED AT FACILITY ON 9/14/17. CHILD #3 DOES NOT HAVE AN INITIAL HEALTH ASSESSMENT OR AN IMMUNIZATION RECORD; CHILD #2 STARTED AT FACILITY ON 5/1/17.

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

Noncompliance Area: THE FINANCIAL AGREEMENT FORM HAS NOT BEEN UPDATED FOR CHILD #1 SINCE 4/3/17.

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

Noncompliance Area: THIS WAS VERIFIED ON SIN-00120012.PLEASE REFER TO SIN-00120012 FOR VIOLATION DESCRIPTION

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

Noncompliance Area: THIS WAS VERIFIED ON SIN-00120012.PLEASE REFER TO SIN-00120012 FOR VIOLATION DESCRIPTION.

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.

Noncompliance Area: THIS WAS VERIFIED ON SIN-00120012.PLEASE REFER TO SIN-00120012 FOR VIOLATION DESCRIPTION.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.

Noncompliance Area: THIS WAS VERIFIED ON SIN-00120012.PLEASE REFER TO SIN-00120012 FOR VIOLATION DESCRIPTION

Correction Required: A staff person shall be 18 years of age or older.

Noncompliance Area: THIS WAS VERIFIED ON SIN-00120012.PLEASE REFER TO SIN-00120012 FOR VIOLATION DESCRIPTION.

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: ON 8/11/17, AN UNANNOUNCED MONITORING VISIT WAS CONDUCTED & IT WAS DETERMINED THAT STAFF #2 PICKED AN AUTISTIC CHILD UP BY THE ARMS & PULLED THE CHILD ACROSS THE FLOOR WHEN HE WAS HAVING AN OUTBURST

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

Noncompliance Area: ON 8/11/17, AN UNANNOUNCED MONITORING VISIT WAS CONDUCTED & IT WAS DETERMINED THAT THERE IS A VOLUNTEER AT FACILITY UNDER THE AGE OF 16; VOLUNTEER IS 12 YEARS OF AGE

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.

Noncompliance Area: ON 8/11/17, AN UNANNOUNCED VISIT WAS CONDUCTED & IT WAS DETERMINED THAT THERE ARE TWO STAFF MEMBERS UNDER 18 YEARS OF AGE; STAFF #1 IS 17 YEARS OF AGE & STAFF #2 IS 15 YEARS OF AGE.

Correction Required: A staff person shall be 18 years of age or older.

Noncompliance Area: ON 8/11/17, AN UNANNOUNCED MONITORING VISIT WAS CONDUCTED AT FACILIY & IT WAS DETERMINED THAT NEITHER STAFF PERSON #1 NOR STAFF PERSON #2 HAD REQUESTS FOR CRIMINAL HISTORY RECORD, CHILD ABUSE REGISTRY CLEARANCE INFORMATION, A COPY OF THE DISCLOSURE STATEMENT, OR VERIFICATION OF FINGERPRINTS FOR FBI CLERANCES.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 & Facility Person #2 may not work in a child care position at the facility. Director and/or any persons responsible for hiring new staff is required to attend Existing Provider Orientation conducted at the Northeast Regional Office, by contacting the Regional Office in order to schedule this training

Noncompliance Area: ON 8/11/17, AN UNANNOUNCED MONITORING VISIT WAS CONDUCTED & IT WAS DETERMINED THAT ONE STAFF MEMBER WAS WITH 24 CHILDREN INCLUDING THREE INFANTS, , SIX PRESCHOOL CHILDREN, SEVEN YOUNGER SCHOOL AGE CHILDREN & EIGHT OLDER SCHOOL AGE CHILDREN.

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). The required staff:child ratios must be maintained at all times. The legal entity must complete documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The operator must complete ratio checks and keep on file at the facility for review. The operator must complete ratio checks for a minimum of THREE months. OPERATOR MUST POST CORRECT STAFF:CHILD RATIOS IN EACH ROOM SO THAT STAFF CAN SEE THEM. OPERATOR MUST HOLD ANOTHER STAFF MEETING FOR ALL STAFF TO GO OVER RATIO POLICY, HAVE STAFF READ RATIO POLICY AND SIGN OFF THAT THEY HAVE READ AND UNDERSTAND RATIO POLICY.

Noncompliance Area: THERE ARE EXPOSED BOLTS ON THE FENCE AROUND THE OUTDOOR PLAY SPACE.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: REST EQUIPMENT IS NOT LABELED FOR USE BY AN INDIVIDUAL CHILD IN THE INFANT AREA

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: STAFF #1 DOES NOT HAVE A HEALTH ASSSESSMENT OR TB SCREENING; START DATE AT FACILITY WAS 6/1/17. STAFF #2 DOES NOT HAVE A HEALTH ASSESSMENT OR TB SCREENING; START DATE AT FACILITY IS 6/30/17

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: BOTTLES ARE NOT LABELED.

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

Noncompliance Area: STAFF #2 DOES NOT HAVE VERIFICATION OF EDUCATION

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: STAFF #2 DOES NOT HAVE ANY WRITTEN, NON-FAMILY REFERENCES

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: THERE IS NO VERIFICATION THAT STAFF #1 WAS FINGERPRINTED FOR HER FBI CLEARANCE OR THAT SHE HAD REQUESTED HER CHILD ABUSE CLEARANCE PRIOR TO STARTING AT FACILITY. STAFF #2 HAS NO VERIFICATION OF REQUESTS FOR HER CHILD ABUSE CLEARANCE, CRIMINAL CLEARANCE, OR ANY VERIFICATION THAT SHE WAS FINGERPRINTED FOR HER FBI CLEARANCE PRIOR TO STARTING AT FACIITY.

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

Noncompliance Area: DIRECTOR IS NOT PRESENT FOR RENEWAL INSPECTION

Correction Required: A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director`s absence.

Noncompliance Area: DUE TO A STAFF MEMBER #4 GOING INSIDE FACILITY TO GET SUPPLIES & DRINKS, STAFF # 3 HAS 6 CHILDREN IN HER GROUP ON THE OUTSIDE PLAY SPACE; FOUR CHILDREN ARE 2 YEARS OLD & TWO CHILDREN ARE INFANTS.

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: FIRST AID KIT DOES NOT HAVE TWEEZERS

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

Noncompliance Area: THE FENCE AROUND THE OUTDOOR PLAY SPACE IS BROKEN IN MULTIPLE PLACES, RESULTING IN SHARP, JAGGED EDGES. THERE IS A LEAK IN THE BATHROOM RESULTING IN WATER ON THE BATHROOM 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.