Elcam Inc

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on the interview with staff, the allegation that when preschool children are in the back playground staff sit at the facility and do not properly supervise children.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the preschool space, 2 broken rectangle Magnitiles. Observed in the toddler space, a damaged plastic wicker basket housing toys.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: At the time of the inspection, there was not a daily schedule posted in the gross motor space.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #3 lacked an emergency contact form with the complete work address and work phone 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #3 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file of child #32 lacked an initial health assessment no later 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.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: Observed in the infant room prescription medication for child #1 not in its original container.

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.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed in the toddler space over the counter cough medication not labeled with the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Based on the emergency drill log, drills were not conducted annually due to the fact the last document emergency drill was held 2/2025.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of staff #1 and #2 had NSOR clearances dated after their first day in care with children (see LIS code sheet).

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. 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.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: Observed a stove in a kitchen accessible to children in the gross motor space adjacent to the kitchen.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Observed in the ladies' restroom in the infant space, the last stall lacked a handwashing 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed 4 broken Magna tiles in the preschool 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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #4 lacked an emergency contact form with 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #4 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The file of child #5 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #4 lacked an emergency contact form with the complete address 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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed an epi pen not labeled for child #3.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: There was not a medication log for infants' Tylenol labeled for child #5.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed in the infant room, a bottle not labeled which belonged to child #1.

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

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file of child #2 lacked an emergency contact form with the signed parental consent for transportation, walking excursions, swimming and wading.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the toddler space the cabinet under the changing table was not locked and there were 5 various brands of diaper cream all labeled, "keep out of the reach of children." The cabinet was accessible to the children present in the childcare space. Observed in the girls' restroom near the gross motor space, Aquaphor lotion labeled for child #4 accessible to children due to the fact it was stored in top, opening space of the diaper changing table.

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(h)

Description: Handwashing signs

Noncompliance Area: There was not a handwashing sign posted at the toilet in the last stall of the girls' and boys' restrooms located near the gross motor room and the restroom located near the infant room.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed in the first aid kit in the gym a tube of Neosporin lacking the name of the individual for whom it was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #4 contains Health & Safety training completed greater than 90 days after their hire date. The training is now current.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #4 and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/ pediatric CPR conducted by a PQAS certified instructor.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4,5 will have until 3/29/2024 to complete the required training. Until such time as the required training has been completed, staff person #4, 5 must be supervised, when interacting with children, by a director, group supervisor or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, 5 staff person #4, 5 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff persons #1, #2 and #3 contain current written evaluations that were completed greater than 12 months after the previous 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathrooms in the gym lacked handwashing signs by the 2 urinals and by the diaper changing area.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. Staff #1, #2 and #3 were not able to supervise Child #1 as they were not able to see, hear, direct and assess the child while locked in the storage shed. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. Staff #1 was not able to supervise child #2 as they could not see, hear, direct or assess the child while alone in the utility closet.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. Staff #1, #2 and #3 were not able to supervise Child #1 as they were not able to see, hear, direct and assess the child while locked in the storage shed. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. Staff #1 was not able to supervise child #2 as they could not see, hear, direct or assess the child while alone in the utility closet.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. As there were no Staff in the storage shed ratio was not maintained. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. As there were no Staff in the utility closet ratio was not maintained.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 9/21/2023 while left unsupervised in a utility closet, child #2 had access to various toxic cleaning supplies that were stored in the utility closet.

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: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: Observed an infant in the infant room to be sleeping in a crib with a blankie that had an attached stuffed Minnie Mouse head.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There was not an emergency medical transportation posting in the gym.

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: 3270.135(c)

Description: Diapering area not used for food prep

Noncompliance Area: Observed in the infant room that the sink used for handwashing after diapering is also used for preparing infant's bottles.

Correction Required: The diapering area may not be used for food preparation or food service.

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 files for staff persons #3, #8 and #11 contain current health assessments that were completed greater than 24 months after the previous health assessments. The files 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for staff persons #6 and #7 contain current emergency plan training completed greater than 12 months after the previous training. The files are now current.

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)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for staff person #3 contains no hours of child care training completed during the previous year. The file for staff person #7 contains only 1 hour of child care training completed during the previous year.

Correction Required: A staff person shall obtain an annual minimum of 12 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff persons #1-#8 contain verification of completion of the Health and Safety update completed after the required date of 12/30/2022. The trainings are now current. The file for staff person #9 is lacking documentation of completion of the health and safety update.

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: The file for staff person #5 contains current mandated reporter training competed greater than 60 months after the previous mandated reporter training. The file is now current.

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 file for staff person #10, hire date (see LIS code sheet) contains a disclosure statement lacking a witness signature. The file for staff person #11, hire date (see LIS code sheet) contains a criminal history status check however is lacking the valid criminal history clearance prior to start date. The file is also lacking verification of request for the NSOR prior to start date. The file now contains completed clearances. The file for staff person #12 is lacking documentation of request for the NSOR verification prior to start date. The file does contain the completed verification letter.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #10 may not work in a child care position at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature at the sinks in the two restrooms in the gym exceeded 110 degrees. The children use the sinks to wash hands.

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: The first aid kit in the gym lacks tweezers. The first aid kit in the school age room lacks scissors.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the large play yard swings with damaged and peeling covers and the bottom of the slide was damaged and had rough edges. Observed in the indoor gross motor area a see saw with torn fabric.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the toddler outdoor play area, small rubber particles with a diameter of less than 1 inch, all over parts of the poured protective surface and 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)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed the emergency contact information for child #3 did not contain the address 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: Observed there was no emergency contact information available for children receiving care when they were outside in the toddler play area.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Observed child file #2 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #1 did not contain written verification of MMR and Varicella vaccines administered in accordance with the schedule recommended by the ACIP.

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.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Observed there were no medication logs for medications stored and administered in the older toddler, young toddler, and infant areas.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.151(a)

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

Noncompliance Area: Observed staff file #3, 5, and 6 contained updated health assessments which were dated more than 24 months after the previous valid 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Observed staff file #2 and #5 did not contain documentation of training in 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.

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: Observed staff file #2 contained documentation of training in pediatric first aid and pediatric cardiopulmonary resuscitation which was dated more than 90 days after hire.

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

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: Observed staff file #2 and 4 contained documentation of the health and safety training which was completed more than 90 days after the date of hire. Observed staff file #7 did not contain documentation of health and safety training for child care centers.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #1 contained updated criminal background, child abuse, FBI fingerprint clearances and the CPSL required mandated reporter training which were all completed more than 60 months after the date of the previous valid clearance or training. Observed staff file #4 contained a child abuse clearance which was dated after their first day working in a child care position and the file did not contain child abuse clearance request form. Observed staff file #5 contained an FBI fingerprint clearance which was dated after their first day working in a child care position and the file did not contain a fingerprint submitted receipt.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Observed staff file #3 and #5 did not contain documentation of 2 years experience with children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a detached screw by the entrance door in the outdoor toddler play area.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed multiple spots of peeling/damaged paint on the lower portion of the metal siding in the toddler play area. Observed peeling/damaged paint by the exit door and the bar in the indoor gross motor room.

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

Noncompliance Area: Observed child file #1 and #2 contained a recent child service reports which were incomplete, part 3 was the only section completed on the report.

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

Noncompliance Area: Observed the health report for child #2 did not contain a statement that the child is able to participate in child care and appears to be free from 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.

Noncompliance Area: Observed child file #1 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

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: Observed the facility did not have an established medication log for a child's gas relief medication stored in the infant room.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: Observed staff file #7 contained a most recent health assessment which was dated more than 24 months after the date of the previous valid 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.

Noncompliance Area: Observed staff file #2 and #5 contained all three updated clearances which were obtained more than 60 months after the previous valid clearances in the file. Observed staff file #4 contained a criminal background and child abuse clearance which were obtained more than 60 months after the previous valid clearances in the file. Observed staff file #6, whose first day in a child care position was 2/25/20, did not contain a copy of the application for the NSOR verification letter to be a provisional hire. Observed staff file #1, a provisional hire who started in a child care position on 10/21/19, did not contain copies of the application for the criminal background clearance or a finger print submitted receipt dated prior to or on the date of starting in a child care position. Staff file #1 did not contain a copy of the application for the NSOR verification letter to be a provisional hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1 and 6- may not work in a child care position at the facility. Staff #2, 4, and 5 have all three required valid clearances at this time.

Noncompliance Area: Observed staff file #1 and #3 did not contain documentation of 2 years(2500 hours) of experience with children. Observed staff file #7 did not contain documentation of a high school diploma.

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: Observed white out, labeled keep out of the reach of children, accessible to children in an low drawer in the preschool area. Observed weed killer, labeled keep out of the reach of children, accessible to children in an unlocked shed within the outdoor play area.

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: In the toddler outdoor play area, there were spots of damaged metal siding with rough edges and a piece of metal with sharp edges by the corner of the building.

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: Observed paint flakes on the low window sill in the preschool area.

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

Noncompliance Area: Observed the tan with black speckled poured surfacing in the toddler outdoor play area was coming apart and leaving multiple small black rubber pieces of less than 1 inch on the toddlers play surface.

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.

Noncompliance Area: Observed an infant sleeping in their crib which was against the wall on one end and had toys around the other 3 sides inside the required 2 feet of space.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Observed there was no written plan of daily activities posted in the older toddler area.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: Observed child file #2, did not contain a child service report completed within the previous 7 months.

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

Noncompliance Area: Observed child file #1, whose emergency contact form did not contain written consent signed by a parent for emergency medical care or signed parental consent for administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: Observed there were no emergency contact forms in the child care space when the younger and older toddlers were in the indoor gross motor room.

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.

Noncompliance Area: Observed the school age room and the infant room did not have a posted emergency transportation plan.

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: Observed in the older toddler hand washing area, an expired epi pen accessible to children in a backpack on a low hook.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Observed staff file #1 and #2, contained initial health assessments which were dated after the staff began providing initial service in a child care setting.

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.

Noncompliance Area: Observed staff file #3, did not contain documentation of training in the emergency plan or fire safety training within the previous 12 months.

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. 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: Observed staff file #3, did not contain a criminal background clearance. Observed staff file #4, contained a valid updated criminal background and FBI clearances which were obtained more than 60 months after the previous valid clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -3- may not work in a child care position at the facility until a valid criminal background clearance is obtained.

Noncompliance Area: Observed staff file #1 did not contain documentation of at least an 8th grade education to go with the documentation of 2 years of experience with children.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Noncompliance Area: Observed multiple electrical outlets which did not have protective covers in an unlocked closet in the gross motor room where the toddlers were playing.

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

Noncompliance Area: Observed a dislodged ceiling tile in the girls restroom.

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: Observed the trash cans by the older toddler and the preschool sinks did not have lids. Observed the trash can in the boys bathroom did not have a lid.

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

Noncompliance Area: Observed a play mat in the gym area which had a peeling cover. Observed a wooden pull toy in the young toddler area with loose support screws. Observed a plastic dinosaur in the preschool area which had rough edges.

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: Observed styrofoam bowls stored in the cabinet with food that is fed to children. It was determined through conversation that the styrofoam bowls were used to serve children ice cream sundaes during the previous month.

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: Observed children's files #1, #2, #3, #4, #5, and #6 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: Observed child file #2 did not contain 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.

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: Observed an Epi-pen located in a child's backpack which was accessible to children in a low cubby near the bathroom areas used by children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Observed staff file #7 contained an initial health assessment which was obtained after providing initial service in a child care setting. Observed staff file #7, did not contain documentation of a TB test completed within the previous 12 months prior to providing initial service in a child care setting.

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: Observed the facility did not have documentation of the annual traffic letter notifying local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

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

Noncompliance Area: Observed staff file #6, did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Noncompliance Area: Observed staff file #2, contained a disclosure statement dated 2 weeks after their start in a child care position. Observed staff file #2 contained a volunteer state police clearance and a volunteer child abuse clearance which are not valid for employment. Observed staff file #3, contained an FBI fingerprint submitted receipt which was dated 2 months after the start date in a childcare position. Staff #3 does not have a valid FBI clearance in the file. Observed staff file #4, who has been employed for more than 90 days, did not contain documentation of completion of the CPSL required mandated reporter training. Observed staff file #4 contained a volunteer child abuse clearance which is not valid for childcare employment. Observed staff file #5, a provisional hire, did not contain documentation of applying for the child abuse clearance or submission of fingerprints prior to the start date in a child care position. Staff #5 child abuse clearance was obtained more than 90 days after the start date in a child care position and the FBI clearance was obtained 2 months after the start date in a child care position. Observed staff file #5, contained documentation of training in the CPSL required mandated reporter training which was completed 7 months after the start date in a child care position. Observed staff file #6, contained documentation of training in the CPSL required mandated reporter training which was completed 9 months after the start date in a child care position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -2, 3, 4- may not work in a child care position at the facility.

Noncompliance Area: Observed staff file #1, did not contain documentation of 1 year of experience with children.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Noncompliance Area: Observed staff file #6, did not contain documentation of 2 years of experience with children.

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

Noncompliance Area: Observed one staff with 12 preschool children in the preschool area when the other teacher and the rest of the children were in the bathroom located in a different room in the building. Observed one staff in the school-age room with 12 preschool children after toileting and prior to the children napping. Observed in the young toddler area, 2 staff with 11 young toddlers when one staff left the room to go to the infant room to get a bag.

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: Observed foam disinfectant cleaner accessible to children on the bottom shelf of an open cabinet in the girls restroom. Observed paint, round up, and bug spray accessible to children in an unlocked shed located in the outdoor play area used by 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: Observed an electrical outlet in the school-age room which was missing the electrical outlet cover plate. Observed long blind cords accessible to children in the preschool area.

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: Observed a large television which was not securely anchored to its stand or the wall and a damaged toy bin in the school age room. Observed a damaged toy bin and a detached portion of the divider by the elevated platform in the preschool area. Observed mats in the gym area had peeling covers. Observed exposed swing anchor supports and detached and worn carabineers on the swing set in the toddler play area. Observed a detached bottom of a divider panel in the infant room.

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: Observed several areas under the embedded outdoor play equipment which did not have the required 9 inches of loose fill impact absorbing material.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: At the time of arrival for the inspection, observed in the infant room, a preschool child was in a crib for a time out for hitting another child in the preschool area of the main room.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: Observed child files #1, #2, #3, and #6 did not contain a child service report completed within the previous 6 months.

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