Development Of Greatness Learning Center

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection on 6/22/26, Cert Rep observed the following: The facility's thermometer read 60 degrees

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection on 6/22/26, Cert Rep observed the following: Child # 4's child service report was completed on 12/15/25

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During renewal inspection on 6/22/26, Cert Rep observed the following: Child # 4's agreement was last signed on 5/14/25

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)/3270.182(1)

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

Noncompliance Area: During renewal inspection on 6/22/26, Cert Rep observed the following: Child # 1's health assessment was dated 5/28/25

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During renewal inspection on 6/22/26, Cert Rep observed the following: The facility did not have documentation of notification of annual letter in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection on 6/22/26, Cert Rep observed the following: Staff # 1 and Staff # 2 did not have documentation of fire safety training in file at the time of renewal inspection

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During renewal inspection on 6/22/26, Cert Rep observed the following: The facility's hot water measured at 116 degrees

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During unannounced monitoring on 7/28/25, Cert Rep observed the following: The facility's thermometer in the refrigerator read 48 degrees

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During unannounced monitoring on 7/28/25, Cert Rep observed the following: the facility's hot water tested 117 degrees

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

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: The facility did not have play equipment and materials appropriate to meet the needs of the infant present in the childcare facility

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: The facility had a green chair that was soiled and needed cleaning

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: Cert Rep observed the infant in the pack n play that was not labelled for the use of the specific child

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: The facility's thermometer in the refrigerated was at 50 degrees

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: The facility's shaken baby syndrome policy did not include prevention and identification of child maltreatment

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: The infant's bottle was not labelled with the child's name

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: Staff #1's fire safety training was dated 3.11.24

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: Staff # 3 listed as AGS had a volunteer Child abuse dated 9.20.23

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3-- may not work in a childcare 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 #-3-- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: Staff #2's staff evaluation was dated 3.4.24

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: Staff # 3 did not have documentation of 2500 hours of childcare experience to qualify as AGS. Staff # 3 had 450 hours documented in file

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.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: The facility's hot water tested at 119 degrees

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During renewal inspection on 6/23/25, Cert Rep observed the following: The facility did not have the proper handwashing sign posted at the sink and in the facility's bathroom

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection on 7/8/24, while reviewing children's files, Cert Rep observed the following: Child # 2's child service report was dated 12/21/23.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: During renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: - Emergency contacts were not present in the childcare space for children receiving care. emergency contacts were in the office.

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: 3280.131(d)(5)

Description: Immunization record

Noncompliance Area: During renewal inspection on 7/8/24, while reviewing children's files Cert Rep observed the following: Child # 2' health assessment did not include all of the immunization according to recommendations of the ACIP

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: The children did not wash hands before eating morning snacks.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: - The facility did not have a complete shaken baby syndrome policy (missing strategies for coping with a crying, fussing, distraught child and the prevention and identification of child maltreatment) - The facility's emergency plan did not address continuity of operations

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: 3280.63/3280.76

Description: Unsafe Areas in Outdoor Space/Building Surfaces

Noncompliance Area: During renewal inspection on 7/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: -The fence in the facility's backyard was falling down and held up by a piece of wood and some bricks. -The facility's backyard had some debris and needed cleaning

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. 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: 3280.103

Description: Small Toys and Objects

Noncompliance Area: On 06/07/2023, during the renewal inspection, a small toy car with small wheels less than 1 inch in diameter was present in one of the toy bins accessible to toddler aged children.

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

Regulation: 3280.106

Description: Refrigerator

Noncompliance Area: On 06/07/2023, during the renewal inspection, the facility refrigerator was not clean. A sticky residue was present on some of the shelves in the refrigerator.

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

Regulation: 3280.108(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 06/07/2023, during the renewal inspection, the black shelving unit next to the refrigerator that houses the microwave is not sturdy and poses a potential tipping hazard in the childcare space

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

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: On 06/07/2023, during the renewal inspection, the lighting of the childcare space during nap time was insufficient and did not allow staff to adequately see each child during this activity.

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. TIERED LIS: 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 06/07/2023, during the renewal inspection, there was no evidence on file that an updated child service report was completed within 6 months for Child #1. (Last report completed on 9/10/22).

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: On 06/07/2023, during the renewal inspection, the health assessment for Child #2 did not include hearing, vision and developmental screenings.

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.

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: On 06/07/2023, during the renewal inspection, Child #1 was missing a Hep B and Influenza vaccination and Child #2 was missing a Polio vaccination according to the immunization reports on file.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3280.133(5)

Description: Original label

Noncompliance Area: On 06/07/2023, during the renewal inspection, medication cream prescribed for Child#4 expired as of 05/12/2023.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3280.181(e)

Description: Emergency master file updated

Noncompliance Area: On 06/07/2023, during the renewal inspection, emergency contact information located in the emergency bag for Child #2 and Child # 3 was not updated in a 6-month period.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: On 06/07/2023, during the renewal inspection, the file for Staff person #1 contained verification for only 7 hours of the required 12 annual hours of child care training.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 6/07/2023, during the renewal inspection, the file of Staff person #2 did not contain a completed NSOR clearance, the PA State Police Criminal Clearance and the PA Child Abuse were both applied for under volunteer status.

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

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 06/07/2023, during the renewal inspection, an unused outlet on the extension cord by the office door was not covered by a protective receptacle cover.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On 06/07/2023, during the renewal inspection, a bottle of hand sanitizer was present on top of the half wall of the indoor play space and accessible to the children in care.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: On 06/07/2023, during the renewal inspection, tape was missing from the first aid kit hanging in the front vestibule.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: On 06/07/2023, during the renewal inspection, two ceiling tiles in front of the classroom were stained and damaged; evidence of mice droppings were present in the lower cabinet of the kitchen sink; a metal rodent trap was present in the unlocked lower cabinet of the kitchen sink accessible to the children; a loose panel of wood was present on the door of the back yard fence; the parameter of the floor in the bathroom was dusty and dirty;

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 06/07/2023, during the renewal inspection, chipping paint was present on the orange colored wall outside in the play yard under the electrical boxes.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REP CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #1, #2 AND #4 DID NOT HAVE AN UPDATED CSR ASSESSMENT ON FILE.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #4 DID NOT INCLUDE A HEALTH ASSESSMENT OR TUBERCULOSIS SCREENING. THE HEALTH ASSESSMENT FOR STAFF #2 DID NOT INCLUDE TUBERCULOSIS SCREENING BY THE MANTOUX METHOD.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.152

Description: Adult Hygiene

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REP CONDUCTED A RENEWAL INSPECTION. STAFF PERSON #1 DID NOT CHANGE GLOVES OR WASH THEIR HANDS INBETWEEN DIAPERING CHILDREN AND HELPING WITH TOILETING.

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

Regulation: 3280.182(5)

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

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REP CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #4 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID.

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

Regulation: 3280.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE PROOF 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.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2, #3 AND #4 DID NOT INCLUDE TWO NON FAMILY REFERENCE LETTERS.

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: 3280.20/3280.64

Description: General Health and Safety/Outside Walkways

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FOUNDATION GROUND LOCATED DIRECTLY OUTSIDE THE BACK DOOR WAS BROKEN AND IN DANGEROUS CONDITION. THE OUTDOOR WALKWAY USED FOR EMERGENCY EXIT WAS IN DIS-REPAIR AND A SAFETY HAZARD TO THE CHILDREN.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE EMERGENCY PLAN POSTED DID NOT INCLUDE A LOCKDOWN PLAN.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE THE ANNUAL TWELVE CLOCK HOURS OF CHILD CARE TRAINING.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #3 DID NOT INCLUDE HEALTH AND SAFETY TRAINING.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Health & Safety Training.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ON MAY 10, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE STATE POLICE CLEARANCE. THE RECORD FOR STAFF PERSON #3 NEEDED AN UPDATED CHILD ABUSE CLEARANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 & #3 may not work in a child care position at the facility.

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE WATER TEMPERATURE IN THE CHILDREN'S BATHROOM WAS 112.2 (CORRECTED ON SITE).

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

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. BATHROOM #1 HAD PEELING CHIPPED PAINT LOCATED ON THE WALLS. THERE WAS ALSO A HOLE IN THE BATHROOM WALL THAT NEEDED TO BE REPAIRED.

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

Regulation: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: ON MAY 10, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FLOOR LOCATED AT THE BACK EXIT (RIGHT BEFORE LEAVING OUTSIDE) WAS WEAK AND IN POOR CONDITION.

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

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: ON NOVEMBER 18TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED AN INVESTIGATION FOLLOWING FROM AN INITIAL COMPLAINT. AT THE TIME OF INVESTIGATION STAFF PERSON #1 WAS WORKING ALONE WITH 8 CHILDREN. THIS WAS A MIXED AGE GROUP OF CHILDREN, THE YOUNGEST CHILD IN THIS GROUP WAS 8 MONTHS OLD.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements at §3280.52(b). IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: ON JULY 15, 2020, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 ( HIRE DATE 02/20/2020) DID NOT INCLUDE THE NATIONAL SEX OFFENDER REGISTRY CERTIFICATE - AS REQUIRED UNDER CPSL.- ( CONTINUED NON-COMPLIANCE FROM THE UNANNOUNCED INSPECTION CONDUCTED 02/25/2020)

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

Noncompliance Area: ON FEBRUARY 26, 2020, DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 ( HIRE DATE 02/26/2020) WHO WAS IDENTIFIED AS THE DIRECTOR DID NOT INCLUDE THE NATIONAL SEX OFFENDER REGISTRY CERTIFICATE. ( A COPY OF REQUESTS FOR THE NATIONAL SEX OFFENDER REGISTRY CERTIFICATE WAS IN THE RECORD; THE DIRECTOR CANNOT BE A PROVISIONAL HIRE) THE RECORD REVIEWED FOR FACILITY PERSON # 2 ( HIRE DATE 02/26/2020) DID NOT INCLUDE THE FBI FINGERPRINT CLEARANCE, NATIONAL SEX OFFENDER REGISTRY CERTIFICATE, CHILD ABUSE REGISTRY CLEARANCE, PA CRIMINAL HISTORY CLEARANCE OR A COPY OF REQUESTS FOR THE FBI FINGER PRINT CLEARANCE, CHILD ABUSE REGISTRY CLEARANCE, PA CRIMINAL HISTORY CLEARANCE AND FBI FINGERPRINT CLEARANCE. - AS REQUIRED UNDER CPSL- -CONTINUED NON-COMPLIANCE FROM THE UNANNOUNED INSPECTION CONDUCTED 02/26/2020-

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 fbi fingerprint clearance, national sex offender registry certificate, 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: ON FEBRUARY 26, 2020, DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. - DIRECTOR-

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

Noncompliance Area: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, STAFF PERSON # 3 ( WHO WAS NOT PRESENT AT THE FACILITY WAS IDENTIFIED AS THE CURRENT DIRECTOR). ON FEBRUARY 26, 2020 DURING THE UNANNOUNCED INSPECTION, STAFF PERSON # 1 ( WHO WAS PRESENT AT THE FACILITY) WAS IDENTIFIED AS THE CURRENT DIRECTOR ( EFFECTIVE 02/26/2020) BY STAFF PERSON # 4 WHO IS THE LEGAL ENTITY. AFTER REVIEW OF THE RECORD STAFF PERSON # 1 DOES NOT QUALIFY AS A DIRECTOR. A DIRECTOR IS NOT EMPLOYED AT THE FACILITY.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: ON FEBRUARY 26, 2020, DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 02:05 PM THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 4 AND FACILITY PERSON # 2 IN THE MAIN CHILD CARE SPACE WITH TWELVE CHILDREN. ( THE YOUNGEST CHILD WAS AN INFANT, CHILD # 1) AFTER REVIEW OF THE RECORD FACILITY PERSON # 2 DOES NOT QUALIFY AT MINIMUM AS AN AIDE. THEREFORE; FACILITY PERSON # 2 DOES NOT COUNT IN RATIO. STAFF PERSON # 1 WAS IN THE BACK OFFICE AWAY FROM THE GROUP. -CONTINUED NON-COMPLIANCE FROM THE UNANNOUNCED INSPECTION CONDUCTED 02/25/2020-

Correction Required: The legal entity will maintain at the facility documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by maintaining a record of the documentation at the facility for a period of three months after the form has been approved. The forms will be made available to the Regional Office of Child Development and Early Learning staff for review during unannounced visits. Verification of compliance with ratio and supervision will be completed with more than one site visit at the facility over a three month period.

Noncompliance Area: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 11:13 AM FACILITY PERSON # 2 ARRIVED TO THE FACILITY. ( UPON REVIEW OF THE RECORD OF FACILITY PERSON # 2; THE FACILITY PERSON DOES NOT QUALIFY AT MINIMUM AS AN AIDE) AT APPROXIMATELY 12:17 PM, STAFF PERSON # 1 LEFT THE FRONT CHILD CARE SPACE TO GO INTO THE OFFICE AREA. FACILITY PERSON # 2 THEN FOLLOWED STAFF PERSON # 1 INSIDE OF THE OFFICE AREA; LEAVING SIX CHILDREN LAYING ON MATS IN THE FRONT CHILD CARE SPACE WITHOUT SUPERVISION BY A STAFF PERSON. (FACILITY PERSON # 2 WAS HOLDING CHILD # 1 WHEN SHE LEFT THE SPACE) FROM APPROXIMATELY 12:10 PM TO 12:36 PM STAFF PERSON # 1 REPEATEDLY LEFT THE MAIN FRONT CHILD CARE SPACE WALKING IN AND OUT OF THE BACK OFFICE AREA, LEAVING FACILITY PERSON # 2 ALONE WITH THE SEVEN CHILDREN. FACILITY PERSON # 2 DOES NOT QUALIFY AS A STAFF PERSON THEREFORE; THE CHILDREN WERE NOT SUPERVISED AT ALL TIMES BY A STAFF PERSON.

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: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 PROVIDE LUNCH TO CHILD # 2 AND THE CHILD'S HANDS WERE NOT WASHED BEFORE EATING.

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

Noncompliance Area: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE A HEALTH ASSESSMENT.

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: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE VERIFICATION OF AGE.

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

Noncompliance Area: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE TWO WRITTEN 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: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE THAT FACILITY PERSON # 2 ( HIRE DATE 02/20/2020) RECEIVED TRAINING REGARDING THE EMERGENCY PLAN AT THE TIME OF INITIAL EMPLOYMENT.

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: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 3 ( WHO WAS IDENTIFIED AS THE DIRECTOR) OBTAINED AN ANNUAL MINIMUM OF 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.

Noncompliance Area: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THE FIRE SAFETY CERTIFICATE REVIEWED FOR STAFF PERSON # 3 WAS NOT AN ACCEPTABLE CERTIFICATE. (THE SIGNATURE LINE FOR THE FIRE SAFETY INSTRUCTOR WAS BLANK)

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: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR FACILITY PERSON # 2 ( HIRE DATE 02/20/2020) DID NOT INCLUDE THE FBI FINGERPRINT, NATIONAL SEX OFFENDER REGISTRY CERTIFICATE OR COPY OF REQUESTS FOR THE FBI FINGER PRINT CLEARANCE OR THE NATIONAL SEX OFFENDER REGISTRY CERTIFICATE. - AS REQUIRED UNDER CPSL.

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 fbi fingerprint clearance, national sex offender registry certificate, 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: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR FACILITY PERSON # 2 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE, EDUCATION AND TRAINING TO QUALIFY THE FACILITY PERSON FOR THE POSITION PERFORMING. - 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: ON FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 11:05 AM, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 ( WHO WAS IDENTIFIED AS THE LEGAL ENTITY) ALONE IN THE FACILITY WITH SEVEN CHILDREN. ( THE YOUNGEST CHILD WAS CHILD # 1, WHO IS AN INFANT AGE CHILD-11 MONTH OLD/DOB 03-31-2019) AT APPROXIMATELY 11:13 AM FACILITY PERSON # 2 ARRIVED TO THE FACILITY. ( UPON REVIEW OF THE RECORD OF FACILITY PERSON # 2; THE STAFF PERSON DOES NOT QUALIFY AT MINIMUM AS AN AIDE, THEREFORE CANNOT BE COUNTED IN RATIO)

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 FEBRUARY 25, 2020, DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 11:05 AM, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 ( WHO WAS IDENTIFIED AS THE LEGAL ENTITY) ALONE IN THE FACILITY WITH SEVEN CHILDREN. ( THE YOUNGEST CHILD WAS CHILD # 1, WHO IS AN INFANT AGE CHILD)

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

Noncompliance Area: ON JULY 01, 2019 DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 12:20 PM, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 ALONE IN THE FRONT CHILD CARE SPACE WITH NINE CHILDREN. EIGHT CHILDREN WERE LAYING ON COTS FOR NAP AND CHILD # 1 WAS UP PLAYING AT THE WRITING TABLE AND IN THE LIBRARY AREA. (THE YOUNGEST CHILD IN THE GROUP WAS A YOUNG TODDLER ONE YEAR OLD CHILD.) AT APPROXIMATELY 12: 25 PM STAFF PERSON # 2 JOINED THE GROUP. AT APPROXIMATELY 12:35 PM STAFF PERSON # 1 LEFT THE GROUP TO TAKE ONE CHILD TO THE BATHROOM, LEAVING STAFF PERSON # 2 WITH EIGHT CHILDREN. SEVEN CHILDREN WERE LAYING ON COTS AND CHILD # 1 WAS UP PLAYING IN CENTERS. (THE YOUNGEST CHILD WAS A ONE YEAR OLD TODDLER CHILD) - ( CONTINUED NON COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED ON 06/12/19).

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 JUNE 12, 2019 DURING THE RENEWAL INSPECTION, THERE WERE TWO ONE YEAR OLD CHILDREN SLEEPING ON CUSHIONS THAT WERE REMOVED FROM THE SITTING BENCH IN THE FRONT SECTION OF THE FACILITY. THE EQUIPMENT WAS NOT AGE APPROPRIATE REST EQUIPMENT AND WAS NOT LABELED FOR THE USE OF THE SPECIFIC CHILDREN.

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: ON JUNE 12, 2019 DURING THE RENEWAL INSPECTION, THE HEALTH REPORT REVIEWED FOR CHILD # 2 ( DOB 03/17/18) WAS NOT UPDATED WITHIN A 6-MONTH PERIOD. ( THE HEALTH REPORT WAS DATED 08/31/18)

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: ON JUNE 12, 2019 DURING THE RENEWAL INSPECTION, THE HEALTH REPORT REVIEWED FOR CHILD # 1( DOB 04/06/15) WAS NOT UPDATED WITHIN A 12-MONTH PERIOD. ( THE HEALTH REPORT WAS DATED 05/02/18)

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: ON JUNE 12, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT THE OPERATOR NOTIFIED THE LOCAL TRAFFIC SAFETY AUTHORITIES IN WRITING WITHIN A 12-MONTH PERIOD 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: ON JUNE 12, 2019 DURING THE RENEWAL INSPECTION, THE INSURANCE DOCUMENT REVIEWED AT THE FACILITY WAS NOT COMPREHENSIVE GENERAL LIABILITY INSURANCE. THE INSURANCE DOCUMENT PRODUCED PROVIDED WORKMEN COMPENSATION POLICY INFORMATION AND DID NOT INCLUDE GENERAL LIABILITY INSURANCE POLICY INFORMATION.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: ON JUNE 12, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 1, # 3, AND # 4 (IN THE FRONT CHILD CARE SPACE) WAS NOT UPDATED WITHIN A 6-MONTH PERIOD.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: ON JUNE 12, 2019 DURING THE RENEWAL INSPECTION, STAFF PERSON # 1 ( WHO WAS IDENTIFIED AS THE DESIGNATED PERSON IN CHARGE) STATED STAFF PERSON # 2 ( WHO IS EMPLOYED AS THE DIRECTOR) WORKS AT THE FACILITY 9:00 AM-6:00 PM MONDAY, WEDNESDAY AND FRIDAY. ( 24-27 HOURS A WEEK)

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: ON JUNE 12, 2019 DURING THE RENEWAL INSPECTION, AT APPROXIMATELY 9:58 AM THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 ALONE IN THE FRONT SECTION OF THE FACILITY WITH 9 CHILDREN ( THE YOUNGEST CHILD WAS A ONE YEAR OLD). STAFF PERSON # 3 WAS IN THE BACK BATHROOM WITH ONE CHILD. AT APPROXIMATELY 12:37 PM THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 ALONE IN THE FRONT SECTION OF THE FACILITY WITH EIGHT CHILDREN, FIVE CHILDREN WERE LYING ON COTS AND THREE CHILDREN WERE UP WALKING AROUND. ( THE YOUNGEST CHILD WAS A ONE YEAR OLD) STAFF PERSON # 3 WAS IN THE BACK BATHROOM WITH TWO 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).

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE HEALTH REPORT REVIEWED FOR CHILD # 2 DID NOT INCLUDE THE CHILD'S IMMUNIZATION STATUS.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE HEALTH REPORT REVIEWED FOR CHILD # 2 WHO WAS PRESENT AT THE FACILITY INDICATED THE CHILD WAS NOT ABLE TO PARTICIPATE IN CHILD CARE AND CONCERNS OF THE CHILD NOT BEING FREE FROM A CONTAGIOUS OR COMMUNICABLE DISEASE.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THERE WAS NO EVIDENCE THAT SAFE ROUTES WERE ESTABLISHED OR POSTED AT THE FACILITY.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 1 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR THE CHILD. THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 3 CONTAINED PARENT INITIALS IN THE PARENT SIGNATURE BOXES FOR CONSENT OF EMERGENCY MEDICAL CARE FOR THE CHILD.

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.

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 1 AND # 3 CONTAINED PARENT INITIALS IN THE PARENT SIGNATURE BOXES FOR CONSENT OF ADMINISTRATION OF MINOR FIRST-AID, TRANSPORTATION AND CONSENT FOR WALKING.

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.A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE TWO WRITTEN 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: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE EMERGENCY PLAN REVIEWED AT THE FACILITY DID NOT PROVIDE A METHOD FOR FACILITY PERSONS TO CONTACT PARENTS WHEN AN EMERGENCY SITUATION ARISES AND HAS ENDED.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE RECORD REVEIWED FOR STAFF PERSON # 1 WHO WAS IDENTIFIED AS THE DIRECTOR, HIRE DATE 10/1/18, INCLUDED AN FBI CLEARANCE THAT WAS NOT ACCEPTABLE. THE FBI CLEARANCE WAS A DEPARTMENT OF JUSTICE CLEARANCE. THE RECORD ALSO INCLUDED A COPY OF REQUEST FOR THE FBI FINGERPRINT CLEARANCE.

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: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THERE WAS CLEANING MATERIALS ( SPRAY BOTTLE CONTAINING BLEACH SOLUTION) HANGING LOW BEHIND THE TOILET IN THE BATHROOM ACCESSIBLE TO CHILDREN.

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

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THERE WERE 3 SPRAY BOTTLES THAT CONTAINED CLEANING SOLUTION HANGING ON THE BACK OF THE TOILET IN THE CHILDRENS BATHROOM. ONE OF THE BOTTLES WAS NOT LABELED TO SPECIFIY THE CONTENTS.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE HOT WATER IN THE CHILDRENS BATHROOM SINK MEASURED AT 124' F PER DIGITAL THERMOMETER.

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

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, THE FACILITY DID NOT HAVE AN OPERABLE TELEPHONE.

Correction Required: A facility shall have an operable telephone and a published telephone number.

Noncompliance Area: ON DECEMBER 19, 2018 DURING THE INITIAL INSPECTION, A HAND WASHING SIGN WITH THE WRITTEN REQUIREMENTS WAS NOT POSTED AT THE SINK NEAR THE REFRIGERATOR IN THE FACILITY.

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