Early Literacy Academy Of The Delaware Valley

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency contact information for child #1, 2, and 3 did not include the address and of the individual designated by the parent to whom the child may be released.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility's written policy identifying: the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; did not include the identification and prevention of child maltreatment.

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

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #3 had a health assessment that was more than 24 months.

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

Regulation: 3270.192(1)

Description: Name, address, and phone

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the file for staff person #2 did not have verification of their address on file.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the operator did not have documentation of reviewing the emergency plan.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #6 did not have documentation of training on the emergency plan.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #1 and #3 did not have the verification of the completion of fire safety training.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #3 did not have the verification of the completion of the Health and Safety pre-service professional development training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #1 had a DHS FBI and NSOR that was more than 60 months; staff #2 did not have an NSOR in their file; staff #3 had an NSOR that was more than 60 months; and staff#7 did not have a child abuse clearance in their file.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the bathrooms in the hall area near the theatre room did not have hand washing signs posted that state, "A facility person and an able child shall wash his hands after toileting and before eating."

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

Regulation: 3270.151(a)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 staff files and the file for staff #1 did not include an updated health assessment. Last health assessment in file was 09/06/22

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 8 staff files and the file for staff #1 is missing a NY 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 # 1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #- 1 may not work in a child care position at the facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the complaint investigation there was spackle and peeling paint on the yellow walls in the library.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection the certification representative requested to view the children's files, children 1 through. 8 all needed child service reports in their file.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the certification representative requested to view the emergency plan and did not see the plans for continuity of care in the plan.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During the renewal inspection the certification representative requested to view staff #6 file, staff #6 did not have a health assessment in the file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection the certification representative requested to view staff #6 file, staff #6 did not have two references in the file.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and did not see tweezer in the first aid kit in the blue room.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and observed peeling paint in the green room, orange room as well as the infant room

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: During my investigation I was able to confirm that that the facility did have an infestation of rodents.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At time of complaint investigation, staff persons #2, #4, #5, #6, #8, #10, and #11, did not have documentation of completing the 1-hour health and safety training update by 12/20/22.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At time of complaint investigation, staff persons #3, #7, and #9 did not have documentation of completing the required pre-service training within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: At time of complaint investigation, staff persons #3, #7, and #9 did not have documentation on file of completing pediatric first aid and pediatric CPR within 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of complaint investigation, during a file review, it was observed that not all staff have the required clearances on file required by the CPSL. The file for staff person #1 had an expired mandated reporter certificate dated 7/30/15. The file for staff person #2 had an expired mandated reporter training dated 2/7/18. The file for staff person #4 had an expired child abuse clearance dated 9/2/16. The file for staff person #7 contained an expired PA criminal clearance dated 6/24/15, and expired child abuse clearance dated 6/24/15, and an expired FBI clearance dated 9/3/14, and no certificate for mandated reporter training. The file for staff person #8 contained an expired PA criminal dated 11/10/17, and expired child abuse clearance dated 11/10/17, and expired mandated reporter training dated 1/17/18. The file for staff person #9 did not contain a PA criminal clearance, a NSOR verification certificate, or mandated reporter training. The file for staff person #10 did not include a complete PA criminal clearance (only the record control number), and contained an expired mandated reporter training dated 2/24/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4, #7, #8, #9, and #10 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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the unannounced monitoring on 09/27/22, the file reviewed for staff #1 did not contain an updated health assessment conducted within 24 month period. Continued non compliance from renewal inspection on 8/16/22.

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: 3270.153

Description: Facility Person/Symptoms of Disease

Noncompliance Area: During the complaint investigation on 09/27/22 it was disclosed that (5) staff persons tested positive for Covid-19 on 09/15/22 and 09/16/22. They were removed from the facility 09/19/22-09/23/22. All staff returned to facility on 09/26/22 without receiving proper notification from physician that they are no longer a threat to the health of others.

Correction Required: A facility person 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 be excluded from attendance until the facility operator receives notification from a physician or CRNP that the person is no longer considered a threat to the health of others. The notification shall be retained in the facility person's file. Exclusion from the facility is required for diseases and conditions specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the unannounced monitoring on 09/27/22 , the emergency form and financial agreement reviewed for child #1, child #2, and child #3 were not reviewed/updated within a 6 month time period. Continued non compliance from renewal inspection on 8/16/22.

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.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the unannounced monitoring on 9/27/22, the emergency plan reviewed did not contain accommodations for infants, toddlers, and children with chronic medical conditions. Continued non compliance from renewal inspection on 08/16/22.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced monitoring on 09/27/22, the file of staff #1 and staff #2 hired (see code sheet) did not contain required NSOR verification. The file for staff #3 and staff #4 hired (see code sheet) did not required NSOR certificate. Continued non compliance from renewal inspection on 08/16/22.

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 NSOR clearance information required under the CPSL. Staff person #1, #2, #3, #4 may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation on 09/27/22 staff #1 was observed alone with (11) children. Youngest child age 1.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 8/16/22, child #1 was observed sleeping on a cot specified for another 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: During the renewal inspection on 8/16/22, file for child #2, child #3, child #4 and child #5 did not contain updated health report within 12 month time period.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the renewal inspection on 8/16/22, the files reviewed for staff #3, staff #6 and staff #7 did not contain an updated health assessment conducted within 24 month period.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 8/16/22, the emergency form and financial agreement reviewed for child #2, child #3, child #4, and child #5 were not reviewed/updated within a 6 month time period.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection on 8/16/22, the file reviewed for staff #3 hired (see code sheet) did not contain two written nonfamily 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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 8/16/22, the emergency plan reviewed did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 8/16/22, file reviewed for staff #3 and staff #5 did not not contain 12 hours of annual training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 8/16/22, the file of staff #6, staff #7, and staff #9 hired (see code sheet) did not contain required NSOR verification. Staff #8 file did not contain required FBI clearance or NSOR certificate. Staff #10 did not contain child abuse clearance, criminal clearance, FBI clearance or NSOR certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #6, staff #7, staff #8, staff #9 and staff #10 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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection on 8/16/22, the files reviewed for staff #1, staff #2, staff #3, and staff #5 were missing annual written evaluation.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 8/16/22, there were missing outlet covers observed in yellow room and upstairs hallway.

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: During the renewal inspection on 8/16/22, lysol and liquid starch was observed behind unlocked utility closet door accessible to children. Hand sanitizer was also observed in orange room 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.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection on 8/16/22, water temperature in children's bathroom tested at 115° F.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 8/16/22, the first aid kit in the infant room was missing tweezers.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 8/16/22, there was peeling paint observed in the orange room.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection on 8/16/22, bathroom #2 on first floor did not have required hand washing signs posted stating that facility persons and children shall wash their hands after toileting and before eating.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: During the renewal inspection on 8/16/22, the trash cans observed in the children's toilet area were not equipped with a lid.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED A BEAN BAG NOT IN GOOD REPAIR AND ACCESSIBLE TO CHILDREN.

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: 3270.105

Description: High Chairs

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED ONE HIGH CHAIR WITHOUT A T-SHAPE SAFETY STRAPIN THE INFANT ROOM.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: AT THE TIME OF INSPECTION AN AGENT OF THE DEPARTMENT DID NOT GAIN IMMEDIATE ACCESS TO THE FACILITY.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED A PORTABLE SPACE HEATER IN THE DIRECTOR'S OFFICE.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: AT THE TIME OF INSPECTION THE DIRECTOR COULD NOT LOCATE THE FIRE DRILL LOG. THE LAST DOCUMENTED LOG WAS DATED FOR 5/27/2021 UNTIL 10/26/2021

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.151(a)

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

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF A PHYSICAL ON FILE.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF EDUCATION ON FILE FOR THE POSITION THEY HAVE.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: STAFF 2 DID NOT HAVE PROOF OF 12 HOURS OF TRAINING (START DATE 10/31/2017).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: AT THE TIME OF THE INSPECTION STAFF 1 WAS MISSING STATE POLICE CLEARANCE, FBI CLEARANCE AND NSOR. AT THE TIME OF THE INSPECTION STAFF 2 WAS MISSING CHILD ABUSE CLEARANCE, FBI CLEARANCE AND NSOR AND THE STATE POLICE CLEARANCES WAS UNDER REVIEW.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 AND 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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: THE INFANT ROOM HAD 17 CHILDREN, THE YOUNGEST WAS AN INFANT, WITH 4 STAFF.

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).

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: CLEANERS WERE ON THE FLOOR IN THE BATHROOM ATTACHED TO THE BLUE ROOM.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: 2 PORTABLE SPACE HEATERS WERE IN THE BLUE ROOM.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: FIRE DRILL LOG SHOWED THE LAST FIRE DRILL ON 10/27/21.

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

Regulation: 3270.113(a)(2)

Description: Supervision on and facility premises

Noncompliance Area: THE INFANT ROOM HAD 17 CHILDREN, THE YOUNGEST BEING AN INFANT, WITH 4 STAFF.

Correction Required: 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)

Description: Comply with CPSL

Noncompliance Area: AT THE TIME OF THE INSPECTION STAFF 1 WAS MISSING THEIR STATE POLICE AND FBI CLEARANCE AND THEIR NSOR. AT THE TIME OD THE INSPECTION STAFF 2 WAS MISSING THEIR CHILD ABUSE CLEARANCE, FBI CLEARANCE, AND THEIR NSOR AND THEIR STATE POLICE CLEARANCE WAS UNDER REVIEW AND DID NOT HAVE A DISSEMINATION DATE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 AND 2-- may not work in a child care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: THE INFANT ROOM HAD 17 CHILDREN, THE YOUNGEST BEING AN INFANT, WITH 4 STAFF.

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).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: THE VENTS IN THE DOWNSTAIRS BATHROOMS, BY THE FRONT DOOR, WERE COVERED WUTH A DUST LIKE SUBSTANCE.

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 the date of the inspection, provider did not provide documentation that the fire detection system has been inspected semi-annually. This condition at the facility poses a threat to the health and safety of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: At the time of the inspection, there was no updated health report on file for child #8 (date of birth 6-3-18). The last report on file was dated 10-1-18. There should have been another report 6 months later.

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

Noncompliance Area: At the time of the inspection, there was no updated health report on file for child #4 (date of birth 8-28-15). The last report was dated 8-10-18. There was no updated health report on file for child #10 (date of birth 3-13-17). The last updated health report was dated 9-20-18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: At the time of the inspection, there was no health assessment and tuberculosis screening by the Mantoux method at initial employment conducted within 12 months prior to providing care for staff #6 AND 7. Staff #9 did not have an updated health assessment on file. The last report was dated 4-9-17. Staff #6, 7 AND 9 may not work in a child care or food handling position in the center.

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: At the time of the inspection, the health assessment on file for staff #1 was not signed by a physician.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #6.

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

Noncompliance Area: At the time of the inspection, there was no fire safety training on file for staff #14.

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

Noncompliance Area: At the time of the inspection, there was no completed FBI clearance on file for staff #1 (date of hire 10-1-18) AND staff #23 (date of hire 10-23-18).Facility Person #-1 and 23 may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and 23 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 #-1 and 23 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, the windows in Preschool 3 classroom had screws in sills but still opened more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: At the time of the inspection, there was chipped paint in Preschool 1 room and damaged plaster in the upstairs bathroom between Preschool 1 and 3.

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

Noncompliance Area: At the time of the inspection, there were 13 Rock and Play "Nappers/Seats" in the infant classroom which children were sleeping in. On the tags of these devices, it stated NOT FOR PROLONGED PERIODS OF SLEEP, which makes this device unable to use as rest equipment. It has been reviewed by DHS and has been verified this is not an age appropriate resting device.

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

Noncompliance Area: At the time of the inspection, there was no address of the child's physician or source of medical care on the emergency contact form for child #9.

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

Noncompliance Area: At the time of the inspection, there was no work address and/ or work phone number of the enrolling parent on the emergency contact form for child #2, 3, 4, 6, 9, 11, and 12.

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

Noncompliance Area: At the time of the inspection, there was no health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child #3 and 10.

Correction Required: 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: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #7, 8, 9, 11 and 12.

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

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed in every child care space.

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

Noncompliance Area: At the time of the inspection, there was no updated 6 month health report on file for child #1 (DOB 9-24-17, last exam was dated 11-28-17). There should have been another exam on or around 5-28-18. There was no updated 6 month health report on file for child #2 (DOB 9-23-17, last exam was dated 11-27-17). There should have been another exam on or around 5-27-18. There was no updated 6 month health report on file for child #7 (DOB 4-16-16, last exam was dated 4-24-17). There should have been another health report dated 6 months later on or around 10-24-17 and another report at the child's 2 year birthday on or around 4-16-18.) There was no updated 6 month health report on file for child #11 (DOB 8-8-16 and last exam was dated 9-12-17). There should have been another health report 6 months later on or around 3-12-18. There was no updated 6 month health report on file for child #12 (DOB 7-20-16 and last exam was dated 10-31-16. There should have been another health report on or around the following times (7-20-17 at child's 1year birthday, 1-20-18 at child's 18 month date of birth and on 7-20-18 at child's 2 year birthday.

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

Noncompliance Area: At the time of the inspection, there was no updated annual health report on file for child #3 (DOB 7-31-13 and last exam was dated 9-30-16). There should have been another health report on file on or around 9-30-17. There was no updated annual health report on file for child #4 (DOB 12-9-12 and last exam was dated 2-17-16). There should have been another health report on file on or around 2-17-17. There was no updated annual health report on file for child #6 (DOB 11-26-14 and last exam was dated 1-30-17). There should have been another health report on file on or around 1-30-18. There was no updated annual health report on file for child #9 (DOB 9-18-15 and last exam was dated 6-24-16). There should have been another health report on file on or around 6-24-18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: At the time of the inspection, the health report on file for child #8 (DOB 11-15-15) and exam date of 11-10-17 was not signed by a physician.

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

Noncompliance Area: At the time of the inspection, the Epi Pen kept in the orange room for child #13 did not have written instructions provided from the individual who prescribed the medicine indicating that it was for this specific child. The child's name was written in black sharpie marker on the Epi Pen. It also was not in the original prescription box that accompanies the medication.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: At the time of the inspection, there was no medication log on file for the EPi-Pens that were located in the orange room for children #10 and 13.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: At the time of the inspection, there was no initial health assessment conducted within 12 months and no verification of tuberculosis screening by the Mantoux method on file for staff #6 (date of hire 4-23-18). The health assessment on file for staff #7 was dated 11/4/15 and expired 11/4/17. The health assessment on file for staff # 9 was dated 4/15/16 and expired 4/15/18. There was no health assessment signed by a physician on file for staff #10. There was no health assessment on file for staff #11. The health assessment on file for staff #13 was dated 10/31/15 and expired on 10/31/17. There was no health assessment in the file of staff #14. The health assessment on file for staff #15 was dated 7/24/15 and expired 7/24/17. The health assessment on file for staff #18 was dated 7/7/16 and expired 7/7/18. There was no health assessment in the file of staff #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.An adult health assessment must includeat 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: At the time of the inspection, the health assessment (dated 4/25/17) for staff #4 was not signed by a physician, physician's assistant or CRNP and did not include the individual's professional title.

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

Noncompliance Area: At the time of the inspection, the last update to the agreement on file for child #9 was dated 7-5-17. There should have been another review/ update 6 months later.

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

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #3, 4, 10 and 11.

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

Noncompliance Area: At the time of the inspection, there was no signed disclosure statement on file for staff #2 (date of hire 9/2016). There was no signed disclosure statement on file for staff #3 (date of hire 1/22/2018). There was no signed disclosure statement on file for staff #4 (date of hire 2/2017). There was no signed disclosure statement on file for staff #5 (date of hire 2/2017). There was no signed disclosure statement on file for staff #7 (date of hire 2016). There was no signed disclosure statement on file for staff #8 (date of hire 7/2017). There was no signed disclosure statement on file for staff #9 (date of hire 1/2017). There was no signed disclosure statement on file for staff #10 (date of hire 4/2018). There was no signed disclosure statement on file for staff #11 (date of hire 6/4/2018). There was no signed disclosure statement on file for staff #12 (date of hire 11/2017). There was no signed disclosure statement on file for staff #13 (date of hire 2016). There was no signed disclosure statement on file for staff #15 (date of hire 2016). There was no signed disclosure statement on file for staff #16 (date of hire 2017). There was no signed disclosure statement on file for staff #18 (date of hire 10/2017). There was no signed disclosure statement on file for staff #19 (date of hire 10/2017). There was no signed disclosure statement on file for staff #20 (date of hire 7/2018). There was no signed disclosure statement on file for staff #21 (date of hire 4/2017). There was no signed disclosure statement on file for staff #22 (date of hire 3/2017). There was no signed disclosure statement on file for staff #24 (date of hire 10/2017). There was no signed disclosure statement on file for staff #25 (date of hire 11/2017).

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #- may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #6 (date of hire 4/23/18), staff # 14 (Date of hire 5-2-18) and staff #20 (date of hire 7/2018).

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

Noncompliance Area: At the time of the inspections, there was no verification of annual emergency plan training on file for staff #1, 2, 3, 6, 10, 11, 12, 20 and 25.

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

Noncompliance Area: At the time of the inspection, the State Police Clearance on file for staff #10 was dated 1/2/18 and was of volunteer status and not employment. There was no mandated reporter training on file for staff #17 (date of hire 9/2017). The State Police Clearance (dated 5-5-16) and Child Abuse Clearance (dated 5-6-16) on file for staff #21 (date of hire 4/2017) was of Volunteer status and not employment . The FBI clearance on file for staff #22 (hire date 3/2017)was dated 1/17/14 but did not contain a complete rap sheet showing disposition of charges, There was no completed FBI clearance on file for staff #23 (date of hire 11/2017) and the request for clearance was dated 11-10-17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 23 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: At the time of the inspection, there was no verification of high school diploma on file for staff #4, 5, 8 and 21 to classify them as an assistant group supervisor. There was no verification of 2 years (2,500 hours) of experience with children in the file of staff #19 to classify them as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: At the time of the inspection, the windows on the 2nd floor of the building measured 10" with a Stanley brand tape measure when opened. There was nothing restricting them to not open more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: At the time of the inspection, there was water damaged ceiling tiles in the 2nd floor bathroom on the left hand side.

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: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING CHILDREN RECEIVED UPDATED HEALTH REPORTS AT LEAST EVERY 12 MONTHS: #@, #6 AND #9.

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.