Echo Child Development Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Broken magnatiles in Preschool 2 and a broken block in the Toddler Room were observed to not be in good repair at the time of inspection.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms on file for Child #1 and Child #2 lacked complete addresses for all listed release persons.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessment on file for Staff #4 is dated 2/15/24, more than 24 months prior.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff #3 and Staff #4 contained 8 of 12 annual childcare training hours within the training timeframe of 12/2024-12/2025.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent mandated reporter trainings on file for Staff #1 (6/15/20& 8/11/25), Staff #2 (6/12/20 & 8/8/25), Staff #3 (6/16/20 & 8/11/25), Staff #4 (6/22/20 & 8/1/25), and Staff #5 (6/17/20 & 8/12/25) are dated more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent State Police (6/25/20 & 8/1/25) and Child Abuse (6/29/20 & 8/10/25) clearances on file for Staff #3 are dated more than 60 months apart.

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.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: In the Toddler Room, bottles of toxic cleaning products were observed on a shelf above loose diapers, which could be hazardous to children if leaking occurred.

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: 3270.72(c)

Description: Good repair

Noncompliance Area: In the Toddler Room, a window used for ventilation was observed with a large tear in the screen and was not in good repair.

Correction Required: Screens shall be in good repair.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In room 2, there were paper clips, staples and a bobby pin observed in an unlocked desk drawer; and there were two empty plastic storage bags observed in the unlocked cabinet under the changing table, accessible to children who are still placing objects in their mouths.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for child #1 did not include the work address and telephone number of the enrolling parent.

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

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

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

Noncompliance Area: The record for child #2, a preschool child, lacked a current health report.

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: The record for staff #2 lacked a current 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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Two sharp cutting knives were observed in a drawer with a failed childproof lock in room 4, which made them accessible to children.

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

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

Description: Age and Training

Noncompliance Area: Staff #1 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #3 included a current FBI clearance that was dated more that 60 months following the date of their previous FBI 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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Protective covers were not placed in two receptacles in an electrical outlet in the hallway outside the infant and toddler classrooms.

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: A wall mounted dispenser that contained hand sanitizer, which is toxic to children, was hung inside the main entrance to the facility, where it was 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: 3270.76

Description: Building Surfaces

Noncompliance Area: There were four water-stained ceiling tiles observed in the hallway.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A desk, table and shelving unit were obstructing the hallway outside of room 5..

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The interconnected fire detection system was not tested by a fire professional at least once annually during the time period between 8/16/2023 to 9/10/2024.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous 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.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: A highchair in Room #3 (the infant room) did not have a T-shaped safety strap.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in Room #5 (the school-age room).

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.

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The record for child #1, a young toddler, included a current health report dated more than 6 months following the date of their previous health report.

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. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The record for child #2, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

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: The record for staff #1, #2 and #3 included a current health assessment dated more than 24 months following the date of their previous 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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: 2 pairs of sharp adult scissors were observed in an unlocked desk drawer in Room #1 (Preschool 1), accessible and posing a potential threat to the safety of children in care.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility did not document the submission of emergency plan updates to the to the local and county emergency management agencies using the Emergency Plan Delivery Documentation (form CD 355) or other form of proof of emergency plan submission.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A protective receptacle cover was not placed in an electrical outlet accessible to children 5 years of age or younger in Room #2 (Preschool 2).

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: A bottle of hand sanitizer labeled keep out of the reach of children was observed on a file cabinet behind the desk in Room #6 (the activity room), accessible to children in care.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The bathroom by Room #7 (the Fellowship Hall) was not equipped with a lidded waste receptacle.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: There was equipment being stored in the hallway and stairwell on the 2nd floor that obstructed one of the double doors that exits to the stairway that leads to the exit from the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #1included a current state police clearance dated 12/4/2015, more than 60 months following the previous clearance dated 3/26/2021; a current child abuse clearance dated 12/10/2015, more than 60 months following the previous clearance dated 3/29/2021; and a current FBI clearance dated 12/12/2015, more than 60 months following the previous clearance dated 3/31/2021 .

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Cleaning materials and other toxic materials labeled keep out of the reach of children were observed in the following areas accessible to children in care: Clorox wipes, disinfectant spray, and hand sanitizer, were observed sitting on a shelf behind the desk in the preschool 2 room; and (2) hand sanitizer dispensers were mounted on the walls by the exit doors in the fellowship hall.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the preschool 2 room, trash that was possibly contaminated by human secretions (nasal tissues) was contained in plastic-lined receptacle that was not closed.

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

Noncompliance Area: The files for children #1 and #2 lacked documentation of having received the influenza vaccine within the last 12 months.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The files for Staff #1, #2, and #5 contained health assessments which were not updated within the required 24 month time period. All three staff now have current health assessments 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.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: A lighter and a pair of adult scissors were accessible to children in an unlocked drawer in the Fellowship Hall.

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

Noncompliance Area: Based on documentation on file, staff #4 did not complete 6 hours of training within the required 12 month time period.

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

Noncompliance Area: The file for staff #3 contained mandated reporter training that was not updated within the required 60 month time period. The training was initially completed on 5/21/15 and updated on 6/16/20. The training is now current.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #3 contained a state police clearance that was not updated within the required 60 month time period. The previous clearance was dated 5/19/19 and was updated on 6/25/20. The file for staff #3 also contained an expired child abuse clearance dated 6/29/15.

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

Noncompliance Area: Four containers of Murphy's Oil Soap were accessible to children on the bottom shelf of an unlocked cabinet in the restroom near the Fellowship Hall.

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 3/11/20, at approximately 1:15 PM, two young toddlers were observed alone in the toddler room. Both children were sleeping in cribs. Staff #1, who was assigned to supervise the children, was observed across the hall in the infant room.

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 3/11/20, at approximately 1:15 PM, two young toddlers were observed alone in the toddler room. Both children were sleeping in cribs. Staff #1, who was assigned to supervise the children, was observed across the hall in the infant room.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: A broken arm was observed on the rocking chair in the infant room. The screw used to repair the arm was loose and created a pinch point. The arm was also unstable.

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

Noncompliance Area: The file for child #1, with a date of admission of 4-11-19, contained an agreement which was not signed by the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The file for child #1, with an admission date of 4-11-19, contained an agreement which did not specify the child's arrival and departure times.

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

Noncompliance Area: The file for child #1, with an admission date of 4-11-19, contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The file for child #1 contained emergency contact information which did not include the address of the child's physician or source of medical care.

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

Noncompliance Area: The file for child #3 contained emergency contact information that did not include a health insurance policy number.

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: The file for child #3, a young toddler, contained a health report which has not been updated in 13 months.

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

Noncompliance Area: The file for child #4 contained a health report which was not updated for 35 months. The most recent health report on file for child #4 is now current.

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

Noncompliance Area: The files for children #1, #2, #3, and #4 did not contain documentation of receiving the influenza vaccination within the last 12 months. The file for child #3, a 20 month old, lacked documentation of receiving the final doses of DTAP and Pneumococcal vaccines and also lacked documentation of receiving an MMR or Varicella vaccine

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The files for staff #2, #3, #4, and #5 contained health assessments which were not updated within 24 months. The most recent health assessments on file for all staff are now current.

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: Approximately 8 inches of water was observed in a bucket in an unlocked supply closet in the hall that children use to access the fellowship hall. The doorframe of the supply closet was altered to prevent the door from fully closing. The water was accessible to children and presented a safety risk.

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

Noncompliance Area: The file for staff #1 contained clearances which were not renewed within 60 months. The initial state police clearance was obtained on 6/28/13 and application for renewal was dated 4/1/19. The status of the final results on file was listed as under review and therefore invalid. The initial child abuse clearance was obtained on 7/01/13 and the application for renewal was dated 3/29/19. The results of the child abuse check were not on file. The initial FBI clearance was obtained on 7/13/13 and renewed on 3/26/19.

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

Noncompliance Area: The file for staff #4, designated as an aide, did not include verification of obtaining a high school diploma or a general educational development certificate.

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

Noncompliance Area: The following toxics were accessible to children in an unlocked cabinet in the restroom used while in the fellowship hall; bathroom cleaner, stainless steel cleaner, and disinfectant. Lysol and simple green were accessible to children in an unlocked supply closet in the hall the children use to access the fellowship hall. The doorframe to the supply closet was altered to prevent the door from fully closing.

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: The carpet of the loft in the activity room was frayed creating a loop at the top of the stairs. The loop created a tripping risk.

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: Peeling paint was observed on a bench in the outdoor play space.

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

Noncompliance Area: A tambourine with peeling paint on the frame was observed in the preschool 1 room. A metal bench with peeling paint and exposed rust was observed in the outdoor play space.

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

Noncompliance Area: The file for child #1 contained an initial health report that was conducted more than 60 days following the first day of attendance at the facility.

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

Noncompliance Area: The files for staff #1, #2, and #3 contained documentation of completing training regarding the emergency plan on 9-6-16 and again on 10-17-17. This exceeds the required 12 months time frame

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: The files for staff #1, #2, and #3 contained documentation of completing fire safety training on 10-19-16 and again on 11-15-17. This exceeds the required 12 months time frame.

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

Noncompliance Area: The restroom near the fellowship hall/indoor play space lacked a hand washing sign.

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

Noncompliance Area: A child in the infant room was observed using a wooden highchair without the T-strap secured in place.

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

Noncompliance Area: The last documented update to the emergency plan occurred in September 2016.

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

Noncompliance Area: The file for staff #1, with a start date of 09/29/1997, did not contain a completed FBI clearance. The file for staff #2. with a start date of 08/17/2016 contained a state police clearance and a child abuse clearance obtained for the purposes of volunteering instead of employment.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Staff #1 and staff #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.

Noncompliance Area: The electrical outlets in the fellowship hall, which are accessible to children 5 years of age or younger, lacked protective receptacle covers.

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

Noncompliance Area: The written plan of daily activities was not posted in the Fellowship Hall.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Emergency contact information was not provided for child #1, whose admission date was 02/17/2017.

Correction Required: Emergency contact information is required for each enrolled child.

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Fellowship Hall.

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.

Noncompliance Area: Staff #1 has been working at the facility as an assistant group supervisor since 08/17/2016 and their record did not include verification of prior child care experience, education and training.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Noncompliance Area: A first-aid kit was located on the floor in the Preschool 1 Room and hanging on the back of the door in the School Age Room, accessible to children in care.

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