End Of The Rainbow Day Care Center Inc

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed on 2/6/2026 in the Infant 1 classroom plastic bags in the bottom storage area of the changing table are accessible to children. It was observed on 2/6/2026 in the Older Toddler classroom plastic bags in the cubbie area are accessible to children. (ALL CORRECTED ON SITE)

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The adult health assessment for staff person #1 (DOH see LIS code sheet) indicated that the staff person has a communicable disease; however, it did not describe the conditions and the risk it might pose to others exposed to this individual as required.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.36(b)(2)

Description: HS/GED + 600 hrs training

Noncompliance Area: The record for staff person #2 (DOH see LIS code sheet) includes 600 or more hours of secondary training described in §3270.31(c) (relating to age and training); however, it does not include a high school diploma.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, including 600 or more hours of secondary training described in §3270.31(c) (relating to age and training).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed on 2/6/2026 in the Infant 1 classroom wipes stored in the cabinet section of the changing table are accessible to children. It was observed on 2/6/2026 in the Young Toddler classroom wipes stored in the cabinet section of the changing table are 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: It was observed on 2/6/2026 in the Young Toddler room the changing table surface has areas of damaged wood that are accessible to children.

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: Plastic bags were observed to be accessible to children in the older infant classroom, which was corrected on site.

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: The emergency contact form on file for child #1 did not include the telephone number of the child's 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 of facility person #7, hired 11/18/19, contained tuberculosis screening results dated 1/30/2020, which therefore were not completed within 12 months prior to hire.

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

Noncompliance Area: Bottles for infants in the older infant room were observed not to be labeled with the child's name, which was corrected on site.

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

Noncompliance Area: The files of facility persons #1 and #5 did not include written references attesting the persons' 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: The files of facility persons #5, #2, and #4 contained documentation of current emergency plan training at the time of inspection, however the training was not conducted at the time of initial employment. Documentation of training was dated 12/16/19 for facility person #5 (hired 12/5/19), 12/16/19 for facility person #2 (hired 12/2/19), and 6/18/19 for facility person #4 (hired 6/10/19).

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: Facility persons #8, 9, 10, and 11 had current fire safety training at the time of inspection, however it was dated more than 12 months from the previous training. Dates of training were dated September 2018 and November 2019 for facility persons #8, 9, and 11 and September 2018 and February 2020 for facility person #10.

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 file of facility person #1, hired 10/22/19, did not contain a date or witness signature on the disclosure statement, as required under the CPSL, which was corrected on site. The completed NSOR verification was on file, but it is dated 11/6/19, and therefore was not on file at the time of hire. The file does not contain copies of requests for the NSOR verification, as required for provisional hiring under the CPSL. The file of facility person #2, hired 12/2/19, does not contain a completed FBI clearance or NSOR verification. The LE did not have an approved waiver to hire provisionally at the time of inspection. The file does not contain copies of requests for the clearance or verification, required for provisional hiring under the CPSL. The file also did not contain a witness signature on the disclosure statement, as required under the CPSL, which was corrected on site. The file of facility person #3, hired 10/28/19, does not contain a completed child abuse clearance. The completed NSOR verification was on file, but it is dated 11/6/19, and therefore was not on file at the time of hire. The file does not contain copies of requests for the NSOR verification, as required for provisional hiring under the CPSL. The file also did not contain a witness signature on the disclosure statement, as required under the CPSL, which was corrected on site. The file of facility person #4, hired 6/10/19, contained a completed child abuse clearance, dated 6/25/19, and a completed FBI clearance dated 6/12/19, which therefore were not on file at the time of hire. The does not contain a copy of the request for the child abuse clearance and did not contain a copy of the request for the FBI clearance at the time of hire, as the request for the FBI clearance is dated 6/11/19. The file of facility person #5, hired 12/5/19, does not contain a completed child abuse clearance for employment purposes, as the clearance on file is for volunteer purposes. The file does not contain a completed NSOR verification. The LE did not have an approved waiver to hire provisionally at the time of inspection. The file of facility person #6, hired 8/5/19, did not include a date on the disclosure statement, as required under the CPSL, which was corrected on site. The file of facility person #7, hired 11/18/19, does not contain a completed FBI clearance or NSOR verification. The LE did not have an approved waiver to hire provisionally at the time of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. LACKING REQUIRED HIRING DOCUMENTS: Facility person #2, 3, 5, and 7 must be removed from a child care position by the close of business. Effective 12/31/19 provisional hires may not work in a child care position when a waiver approval is not on file.

Noncompliance Area: The files of facility persons #5 and #7, both being utilized as aides, did not contain documentation of any education or experience.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Cleaning materials were observed to be accessible to children under the diaper changing table in the older infant classroom, which was corrected on site.

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: A magic eraser in the young infant classroom was observed not to be labeled to specify the content, which was corrected on site.

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

Noncompliance Area: It was observed during inspection that the red vinyl couch cushion was ripped and there was dust under the refrigerator in the pre-school 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: It was observed during inspection that staff #1's original State Police and Child Abuse Clearances from 2013 were not in her file.

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: It was observed during inspection that the poles on the basketball hoop had peeling paint.

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

Noncompliance Area: An infant was observed to be sleeping in a crib, and there was not 2 feet of space on 3 sides of the crib.

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: A staff person in one of the preschool rooms was observed to serve snack to children, without washing their hands first.

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

Noncompliance Area: On 9/3/18, per the menu posted at the facility, breakfast being served during the week of inspection included only one item from two of the four food groups. Continued non-compliance: On 11/29/18, the menu still included only one item from two of the four food groups.

Correction Required: Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain.

Noncompliance Area: On 9/17/18, the director reported that there were 129 children enrolled at the facility. There were only two staff members qualified to be group supervisors. Continued non-compliance: On 11/29/18, there were still only two staff qualified to be group supervisors.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: A first aid kit was observed to be accessible to children in one of the preschool classrooms, which was corrected on site.

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

Noncompliance Area: On 9/13/18, wires of the fence were observed sticking out toward the playground with the shredded tire mulch. Continued non-compliance: on 11/29/18, wires were still observed sticking out from the fence toward the playground with the shredded tire mulch.

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 9/13/18, peeling paint was observed on the right wall of the hallway leading out to the outdoor toddler play space and on the green rail next to the platform of the climber over the shredded tire mulch. Continued non-compliance: on 11/29/18, peeling paint was still observed on the right wall of the hallway leading out to the outdoor toddler play space and on the green rail next to the platform of the climber over the shredded tire mulch.

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

Noncompliance Area: The inspection summary, on which regulatory noncompliance items had been cited and corrections not yet verified, was observed not to be posted at the time of inspection, which was corrected on site.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: At the time of inspection, it was observed that there were 20 children with one staff member. One of those children was not resting on a cot, as were the other children. Per staff report, the child that was awake and sitting at a table was a school-age child. A staff: child ratio of 1:12 is required.

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: Two cracked toy bins, creating pinch hazards, were observed in the purple preschool room on 9/13/18.

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: On 9/13/18, a plastic bag was observed to be accessible to children in the older infant classroom. Also on 9/13/18, pom-poms less than 1 inch in diameter and plastic bags were observed to be accessible to children in the young toddler classroom. All were corrected on site.

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: On 9/13/18, a chair was observed next to a crib while an infant was sleeping in the crib, allowing for only 2 feet of space on two sides of the crib. Also on 9/13/18, a child in the older toddler classroom was observed to be sleeping between the wall, shelf, and desk, allowing for only 2 feet of space on one side of the cot. Both were corrected on site.

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: On 9/13/18, it was observed that staff person #1 was unable to see an infant sleeping in a crib behind a half-wall, while the staff person was at the diaper station, which was corrected on site.

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 9/13/18, it was observed that in the young toddler room, staff person #2 had not been assigned the responsibility for supervision of specific children. The responsibility for supervision of two children in the same classroom had not been assigned to any staff member, per staff report.

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.

Noncompliance Area: The emergency contact form for child #4 did not include a complete address for the child's 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: On 9/13/18, it was observed that there was not a medication log or written consent from a parent for the administration of Tylenol for child #1. There was not a medication log on file for Ibuprofen for child #2.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: On 9/13/18, the medication log, on which the administration of child #3's Desmopressino had been documented, did not include the name of the medication.

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: On 9/13/18, the medication logs for child #4's Tylenol and child #5's Tylenol did not include requirements for refrigeration.

Correction Required: A medication log shall include a requirement for refrigeration of medication.

Noncompliance Area: On 9/13/18, it was observed that the medication log for child #6's Methylphenidate, which had been administered, did not include the amount of medication that was administered between 7/26/18 and 8/23/18.

Correction Required: A medication log shall include the amount of medication administered.

Noncompliance Area: On 9/13/18, in the older infant classroom, it was observed that a child's hands were wiped, not washed, after the child was diapered.

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

Noncompliance Area: On 9/13/18, in the older infant room, it was observed that a soiled diaper was placed into a plastic bag and then into the hands-free trash can. It was not discarded immediately into the hands-free trash can.

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

Noncompliance Area: At the time of inspection, the health assessments for staff persons #4 and 5 were dated more than 24 months old, and new health assessments were not on file. The updated health assessment for staff person #5 was provided on site, however it was dated more than 24 months from the previous health assessment. The health assessment on file for staff person #8 was dated more than 24 months from the 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.

Noncompliance Area: The health assessment on file for staff person #8 did not include results of examination for communicable diseases or the physician or CRNP's assessment for the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Per the menu posted at the facility on 9/13/18, breakfast being served at the facility during the week of inspection included only one item from two of the four food groups.

Correction Required: Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain.

Noncompliance Area: A bottle for the use of an infant in the young infant room was observed not to be labeled on 9/13/18, which was corrected on site.

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

Noncompliance Area: On 9/13/18, the emergency contact form in the child care space for child #7 was dated 10/26/17. The emergency contact forms for children #1, 4, 9, and 10 all had current, updated emergency contact forms on file a the time of inspection, however there was no documentation of the date of the previous update, therefore it is unable to be verified that the emergency contact forms were updated within the 6 month period. The financial agreement for child #11 was current and updated at the time of inspection, however it was dated 8 months from the previous update.

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

Noncompliance Area: The emergency contact form for child #8 included initials from the parent to indicate consent for emergency medical care and minor first-aid procedures, however there was not a signature. A signature is required.

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: There was only one written, nonfamily reference on file for facility person #6 at the time of inspection. There were no written, nonfamily references on file for staff person #9 at the time of inspection.

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

Noncompliance Area: There was current emergency plan training documentation on file for facility person #6 at the time of inspection, however it was dated more than one week after the staff person's start date.

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: There was current, up to date fire safety training for staff person #7 at the time of inspection, however there was not documentation of the previous fire safety training, therefore it is unable to be determined if the fire safety training was completed within one year of the previous training.

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: There was not a child abuse clearance on file for staff person #3, who had been employed more than 90 days at the time of inspection. There was documentation of mandated reporter training on file for staff person #3, however it was dated more than 4 months after the staff person's start date.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, the most recent staff evaluation for staff person #1 was dated more than 12 months old, and an updated one was not on file. There was a current, updated staff evaluation on file for staff person #7 at the time of inspection, however there was not documentation of the previous staff evaluation, so it is unable to be determined if the evaluation was completed within 12 months of 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.

Noncompliance Area: Staff person #7, being utilized as a group supervisor, had documentation of a bachelor's degree on file, but did not include 30 credit hours in the human services field, and did not have any documentation of experience on file.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Noncompliance Area: Per director report, there are 129 children enrolled at the facility. There are only two staff members qualified to be group supervisors. An additional group supervisor is required.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: On 9/17/18, it was observed that air freshener and disinfectant spray were accessible in a cabinet in the bathroom in the staff bathroom. On the same day, children were observed to be walking past the bathroom, therefore the toxics were accessible, which was corrected on site.

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 9/13/18, the telephone number for the nearest police station was observed not to be posted in the school-age classroom at the time of inspection.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: On 9/13/18, the first-aid kit in the young infant classroom was observed not to have soap in it, which was corrected on site. On 9/13/18, the first-aid kit on the bus used to transport children was locked and unable to be opened to examine the contents, which was corrected by 9/17/18.

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. A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: On 9/13/18, wires of the fence were observed sticking out toward the playground with the shredded tire mulch and toward the play area with the wood mulch.

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 9/13/18, peeling paint was observed along the window sill and next to the door that opens to the hallway in the older infant room, under a shelf in the school-age room, on the right wall of the hallway leading out to the outdoor toddler play space, on the white columns under the pavilion on the play area with the shredded tire mulch, and on the green rail next to the platform of the climber over the shredded tire mulch.

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 inspection, it was observed that the mulch underneath the swing set was less than 9 inches in depth. The depth of the mulch is required to be 9 inches based on the recommendations of the United States Consumer Product Safety Commission.

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: Staff person #22 was being used as an assistant group supervisor, as that staff member had been left alone with children, and there was not documentation of an acceptable combination of education and experience on file. Staff person #22 must have documentation of an acceptable combination of education and child care experience in order to work as an assistant group supervisor, or must get the necessary combination of experience and education on file to work as an aide in the facility. Currently, there is no verification of education on file for staff person #22.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A plastic toy truck in the school age room was observed to be broken (CORRECTED ON SITE). It was observed that on the toddler playground, the plastic bases of the rockers on the far left side of the playground were cracked and sharp. It was also observed that there was cracked, sharp plastic on the green alligator toy on the toddler playground. The plastic parts of the nap mats used in the Purple Preschool room were observed to be cracked.

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: It was observed that the mulch on the older childrens' playground did not measure 9 inches in depth, as required by the United States Consumer Product Safety Commission.

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: In the older infant classroom, a paperclip less than 1 inch in diameter was observed to be accessible to children on the floor. Plastic bags were also observed to be accessible to the children in the same room. (CORRECTED ON SITE)

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: For child #3, there was not a phone number listed for one of the emergency contacts.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The emergency contact form for child #5 did not have a complete address for the child's 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 emergency contact form for child #5 did not include a full work address for the child's enrolling parent.

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

Noncompliance Area: The emergency contact form for child #1 did not include complete addresses for the individuals designated as 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.

Noncompliance Area: The emergency contact forms for children #1, 2, 8, and 10 were not dated, therefore it is unable to be verified if the the emergency contacts were updated within the last 6 months or if they were updated within 6 months from the previous updates. The emergency contact forms for children #4, 5, 6, 7, and 9 were updated within the last 6 months, but the previous updates were not dated, therefore it is unable to be verified if the emergency contacts were updated within 6 months from the prevous update. There was no documentation that the financial agreements for children #9 and 10 had been updated within the last 6 months. The financial agreements for children #1, 2, 4, 5, 6, 7, and 8 had been updated within the last 6 months, but there is no documentation of the last date of update. Therefore it is unable to be verified if the finacial agreements had been updated within 6 months from the previous update. There were dated signatures on the outside of the childrens files, however it was not specified what the parents were signing for. Some of the emergency contacts in the classrooms were not dated, therefore it is unclear if the most current emergency contact information was in the child care space with the children.

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. 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: Child #4 had been enrolled since 1/30/17 and did not have a health assessment on file until 4/6/17, which is more than 60 days from the child's start date.

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

Noncompliance Area: There was no medication log on file for child #11's Ibuprofen. There was also no parent signature on file for the administration of the Ibuprofen.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: The medication log for child #12 did not state what medication the log was for. The medication log for child #13 was for Ibuprofen, but the medication on site for the child was Acetominophen. (CORRECTED ON SITE)

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: The medication logs for the nasal spray for the use of child #14, the Tylenol for the use of child #15, the Tylenol for the use of child #16, the Acetaminophen for the use of child #17, and the Acetaminophen for the use of child #18 all did not include a requirement for refrigeration of the medications. (CORRECTED ON SITE).

Correction Required: A medication log shall include a requirement for refrigeration of medication.

Noncompliance Area: Staff persons #5, 11, and 19 had results of tuberculin skin tests on file, but they were conducted more than 12 months prior to the staff persons' start dates. Staff persons #5, 11, and 19 need to obtain new tuberculin skin tests. At the time of inspection, staff person #7 did not have an updated health assessment on file, and that staff person's health assessment was due for an updated health assessment on 9/17/17. Staff person #13's health assessment states the staff person has communicable diseases. Staff person #22 did not have results of a tuberculin skin test 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: There was not documentation on the health assessments for staff persons #11 and 19 that a physical examination was conducted.

Correction Required: An adult health assessment must include a physical examination.

Noncompliance Area: Staff persons #6, 10, 18, 19, and 22's health assessments did not include results of examination for communicable deseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: The health assessments for staff persons #18 and 19 did not include an assessment of the person's ability to provide child care.

Correction Required: An adult health assessment must include the physician`s or CRNP`s assessment of the person`s suitability to provide child care.

Noncompliance Area: Staff persons #13, 17, and 22 had only one reference on file. Staff person #21 had no references on 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

Noncompliance Area: The emergency plan training was not completed within the first week of hire for staff persons #1, 9, 11, 18, and 19.

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 inspection, verification of annual fire safety training was not on file for staff person #10.

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: Staff person #1's child abuse and FBI clearance were dated after the staff persons' start date and there was not provisional hire paperwork on file for either clearance. Staff person #1's FBI clearance indicated there was a criminal record, and the rap sheet was not included in the file, as required. Staff person #1's disclosure statement was not signed until after the start date. Staff person #5's state police, child abuse, and FBI clearances were dated after the staff person's start date, and there was not provisional hire paperwork on file for the state police or child abuse clearance. The fingerprint date for the FBI clearance was also after the staff person's start date. Staff person #6 had an FBI clearance on file, however it was not the Department approved FBI clearance. Staff person #9 had a state police clearance on file, however it was not the Department approved state police clearance. Staff person #13's child abuse clearance was obtained after the staff person's start date, and there was not provisional hire paperwork on file. Staff person #18's state police and child abuse clearances were not on file until after the staff person's start date and there was not provisional hire paperwork on file. Staff person #21's disclosure was not signed until after the start date and the staff person's child abuse clearance was not on file until after the start date. There was no provisional hire paperwork. Staff persons #1, 11, and 18 had been employed more than 90 days, and did not have mandated reporter training on file. Staff persons #1, 6, and 9 may not work in a child care position until all required clearances are on file, and all parts of the clearance are on file. Staff person #22's start date was not on file, so it is unknown if the clearance were on time or if staff person 22 is due for mandated reporter training, which was not on file.

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.The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 6,and 9 may not work in a child care position at the facility.

Noncompliance Area: Staff persons #18 and 19 were being used as assistant group supervisors, but did not have documentation of the proper combination of education and child care experience on file. Staff persons #18 and 19 are aide qualified, and cannot be left alone with children until an acceptable combination of education and experience are on file. Staff person #22 was being used as an assistant group supervisor, as that staff member had been left alone with children, and there was not documentation of an acceptable combination of education and experience on file. Staff person #22 must have documentation of an acceptable combination of education and child care experience in order to work as an assistant group supervisor, or must get the necessary combination of experience and education on file to work as an aide in the facility. Currently, there is no verification of education on file for staff person #22 and not documentation of how many hours of child care experience the staff person has.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person #22, who has been the only staff person present with children, did not have documentation of first-aid training on file at the time of inspection.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: The staff evaluation for staff person #3 was not completed until more than 1 year after the staff peron's start date.

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

Noncompliance Area: In the young infant room, it was observed that disinfectant wipes were accessible to children and in the older infant room, sunscreen was accessible to children. The toxic items were located in the cabinets under the diaper changing tables. There were locks on the doors, but the lock in the young infant room was not latched properly and the lock in the older infant room was not working properly. A cold compress labled to be kept away from chidlren was observed to be accessible to children in the school age room (ALL CORRECTED ON SITE)

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 "to go" first aid kit in the school age room was observed to be missing strile gauze pads. (CORRECTED ON SITE)

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

Noncompliance Area: It was observed that the first aid kit on the bus used to transport children did not have soap in it. (CORRECTED ON SITE) There was another first aid kit that reportedly had soap in it, but it was locked and the contents were unable to be examined.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: A string of christmas lights was observed to be accessible to children in a cabinet in the bathroom in the young toddler room, creating a choke hazard for the children. A rug was observed to be fraying in the school age classroom (RUG AND LIGHTS CORRECTED ON SITE). There were weeds at edge of the playground that that sharp, pointy jaggers on them, posing a hazard for children. The bottom edge of the playground fence was observed to have sharp metal wires sticking up in some areas, posing a hazard for children. .

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 in on the red railing on the climber on the playground.

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

Noncompliance Area: It was observed that the glass door at the front entrance of the facility did not have a visual identification strip on it.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: It was observed that Staff #1 and Staff #2 did not receive training regarding the emergency plan at the time of initial employment.

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