Flying Hills Preschool

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, a blue plastic-molded seat for the table used in the Toddler 1 room was missing the safety strap.

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: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, in the Toddler 1 room, the thermometer in the refrigerator measured 54° F.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection, in the Toddler 1 classroom, there were 10 young toddlers present. Staff person #9 named 5 children that they were responsible for and staff person #10 named 3 children they were responsible for. Two additional children were present and not named. Staff person #9 realized that two supervision cards for the children were missing and that was why they were unaccounted for.

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. 1.) 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. This portion of the plan requires an immediate date of correction. 2.) The Legal Entity/Director must update existing supervision procedures. The policies and procedures must include the requirement for staff to be able to see, hear, direct and assess children at all times. The procedures and policies must include requirement that staff know the names and whereabouts of children in their assigned group, and be physically present with the children in the assigned group at all times. The updates must also include procedures for the staff person updating their tangible system as a child enters the classroom and ensuring that all children are accounted and assigned to a staff person. If supervision polices do not include specific procedures, the procedures will be added. The Legal Entity/Director will submit the updated policies to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files. This date of correction will be when all requirements have been met.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 was missing 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: At the time of the inspection, the emergency contact form for child #4 was missing from the Toddler 1 classroom. Child #4 was present in the space.

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(a)

Description: Health information

Noncompliance Area: At the time of the inspection, there was no initial health report on file for child #2. Child #2 has been enrolled at the facility for more than 60 days (see LIS code sheet for date of admission).

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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, there was no immunization record or letter of exemption for immunizations on file for child #2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business on 2/10/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person #7 only completed 7 clock hours of child care training during the 1/2025-1/2026 training period.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, the health and safety training on file for staff person #1 was not completed within 90 days of hire. It was not completed until 1/16/25 (see LIS code sheet for date of hire). The Pediatric First Aid/CPR training for staff person #4 was not completed within 90 days of hire. This is evidenced by the certificate for Pediatric First Aid/CPR training on file dated 2/5/26 (see LIS code sheet for date of hire).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #1 did not receive the NSOR certificate within 45 days of hire. This is evidenced by the NSOR certificate on file dated 1/16/25. Staff person #1 was hired under previous CPSL hiring requirements (see LIS code sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the ceiling vent in the Prepper room was not secured to the ceiling and was falling down.

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: At the time of the inspection, in the Toddler 1 and Prepper room, peeling paint was observed in numerous areas on the walls.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: At the time of the inspection, a visual strip or other visual identification was missing from the glass door in Toddler 1 classroom.

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.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a renewal inspection on 2/07/25 at 10:06 a.m., Staff person #1, #2, #3 were observed with 14 mixed-age toddlers, getting the children ready to go outside. When the group left the classroom, Child #6 was observed sleeping, with his coat on, inside the cozy cube. The Certification representative found the child sleeping, and alerted staff #4 to come back to the room. At that time, Staff #3 yelled back from the playground "Do we have a straggler?" Staff #4 entered the room and acknowledged that she only observed 13 children entering the playground. Child #6 was left unsupervised by facility staff in the classroom for approximately 2 minutes.

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. 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. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. The facility must update their existing tangible supervision system, e.g. supervision cards, supervision lists, or another approved method, to ensure appropriate supervision at all times. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures and it must be documented in their files.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a renewal inspection on 2/07/25 at 10:06 a.m., Staff person #1, #2, #3 were observed with 14 mixed-age toddlers, getting the children ready to go outside. When the group left the classroom, Child #6 was observed sleeping, with his coat on, inside the cozy cube. The Certification representative found the child sleeping, and alerted staff #4 to come back to the room. At that time, Staff #3 yelled back from the playground "Do we have a straggler?" Staff #4 entered the room and acknowledged that she only observed 13 children entering the playground. Child #6 was left unsupervised by facility staff in the classroom for approximately 2 minutes.

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. 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. Children must be supervised at all times.

Regulation: 3270.124(b)(2)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 did not include the address of the child's physician or source of medical care or the enrolling parent's work phone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, on the emergency contact form for child #4, there was no address and telephone number 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection, the agreement on file for child #2 was not reviewed/updated every 6 months as required. This is evidenced by the current review date of 1/9/25 and the previous review date of 5/10/24. The agreement for child #5 last had a review date of 4/9/24 and not every 6 months, as required.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #7 did not complete fire safety training annually. This is evidenced by the current fire safety training date of 1/29/25 and the previous training date of 7/6/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #5 did not update the NSOR certificate every 60 months prior to the current certificate expiration date. This is evidenced by the NSOR certificate on file dated 1/14/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #5 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: At the time of the inspection, the file of staff person #1, #2, #3, #6 and staff person #14 did not include 2,500 hours to accompany the high school diploma and therefore, they could not qualify as assistant group supervisors.

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.

Regulation: 3270.35(b)/3270.192(2)(iv)

Description: Group sup qualifications/Transcript, diploma and letters

Noncompliance Area: At the time of the inspection, staff person #12 did not have a transcript to accompany the bachelor's degree on file to determine the major of the degree and therefore, could not qualify as a group supervisor.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced monitoring conducte3d 8/22/2024, staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

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

Regulation: 3270.151(a)

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

Noncompliance Area: During unannounced monitoring, health assessments on file for staff person #1 were dated 4/21/2022 and 7/18/2024, which is past 24 months.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During unannounced monitoring conducted 8/22/2024, peeling paint was observed in school-age and toddler classrooms.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed that a thermometer was not present in the refrigerator in room 1.

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

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: File for child #1, see code sheet for birth date, contained a health reported dated 10/27/22 and a subsequent health report dated 1/15/24. These dates show that this child's health report was updated more than 12 months apart.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: It was observed that two inhalers were present in room 2, and neither of these inhalers were accepted or stored in their original containers.

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: It was observed in room 1 that two separate medications were present without having the names of the children for whom the medication was intended written on those medications.

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)/3270.133(7)(i)

Description: Medication log/Name of medication

Noncompliance Area: It was observed in room 1 that medication was present for child #2, and this medication had been administered. A medication log was created and present. However, the medication log did not include the name of the medication on the form as required.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A medication log shall include the name of the medication.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: It was observed that the facility's current certificate of compliance was not posted in a conspicuous location used by all parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #1, see code sheet for hire date, contained neither a copy of the request for an out of state child abuse registry clearance nor the full completed clearance. Staff person #1 has been a resident of another state within the last 5 years.

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 #1 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(iv)

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: Files for staff person #2 and #3, who were both employed as assistant group supervisors, did not contain adequate documentation of experience or education to meet one of the applicable qualifications for the position in which they were hired. Although the file for staff person #2 did contain a college transcript verifying 15 credit hours from an accredited college or university, the file did not contain adequate verification of obtaining a high school diploma or 1 year verified experience working with children. Although the file for staff person #3 did contain a high school and college diploma, the college diploma did not indicate the field of study. In addition, neither the college transcripts nor documentation of experience was observed on file.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Files for staff person #1 and #2 (see code sheet for hire dates), did not contain fire safety training completed within the last 12 months as required.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): all 10 health and safety training topics including pediatric first aid/CPR from a PQAS approved trainer. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer. Although staff person #2 completed their 10 hour health and safety training topics, they have not completed the following professional development training by the required due date of 12/30/22: the 1 hour Pennsylvania Health and Safety Update 2022.

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 #1 and #2 will have until 7/28/23 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and 2, then staff person #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in the front toddler room that a small car contained a label stating not suitable for children under 3 years old due to its small removable parts. The toy was left accessible to mouthing children in that space.

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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: File for child #1 did not contain documentation of the review of all age-appropriate immunizations recommended by the ACIP; the file was missing documentation regarding the influenza vaccine.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2-10 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff persons #2-10 will have until 3/4/23 to complete the required training. Until such time as the required training has been completed, staff persons #2-10 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #2-10, then staff persons #2-10 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Although mandated reporter training is now on file for staff person #1, this had not been completed and on file within 90 days of their date of hire (see LIS code sheet for date of hire).

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed in the front toddler room that cleaning materials were left stored in the floor mop 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 in the front toddler room that the plastic frame around the door was broken and cracked creating a sharp edge near the bottom of the door frame 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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in the toddler room that a plastic drawer containing marker lids and other art supplies such as drawing materials and sponges with a diameter of less than 1 inch were accessible to mouthing children being cared for in this room.

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: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed that the tops of the refrigerators in each room, where materials were being stored, had surfaces that were left dusty and unclean.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: File for staff person #1, hired 8/30/21, did not contain a full and complete PA state police clearance. File for staff person #2, hired 1/24/18, contained two PA state police clearances dated 8/25/16 and 1/20/22, and two child abuse clearances dated 8/26/16 and 2/4/22. These dates show that staff person #2 did not have their updated PA state police clearance or child abuse clearance on file within the 60 month timeframe as required by the CPSL. File for staff person #3, hired 6/7/21, contained a NSOR verification application dated 5/6/21 and the NSOR verification certificate dated 10/5/21. This documentation shows that staff person #3 was hired provisionally, but did not obtain the required clearance within their 45 day provisional hire period as required.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed that an outlet in the preschool bathroom was not covered.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that a marker indicating "keep out of reach of children" was being stored in a lower level cabinet in the preschool room allowing it to be accessible to the children in care.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that gloves were missing from the first aid kit in the preschool room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the outdoor play space that the wooden fence surrounding this area contained rough splintered edges along some of the wooden pieces of the fence causing a visible hazard.

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: It was observed in the preschool room that there were several areas of chipped or peeling paint. It was observed on the purple wall under the windows, on the white cabinet doors under the preschool room sink, and on the yellow wall in the preschool bathroom.

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 fee agreement for Child #1 did not contain a date of admission for the child.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The vaccination record on file for Child #3, a 15-month old, does not contain vaccinations in accordance with the ACIP schedule for the child's 12-month vaccinations. The last vaccinations on file are from the child's 9-month vaccinations.

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

Noncompliance Area: The emergency contact form for Child #2 did not contain a signature or date of completion/review by the parent.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: Staff #1 was hired at the facility on 10/7/19. Prior to starting in child care, proof of submission of the NSOR certificate was not on file. The application for the NSOR certificate was dated 10/8/19.

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

Noncompliance Area: Exposed drywall and insulation was observed in the Preschool classroom where a water shut-off switch was added to the wall near the front door, and this area was accessible to children. An outlet faceplate in the preschool classroom block area was observed to be cracked.

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: Small stones with a diameter of less than 1 inch were observed on the playground, which is shared with children from infants to school-age.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: Cabinets in the Preschool classroom were observed to be dirty and sticky.

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

Noncompliance Area: The file for Facility Person #1 did not contain two written, nonfamily references.

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

Noncompliance Area: A play kitchen cabinet with tall shelving was observed under the loft area in the Preschool/Pre-K classroom, but was not mounted to anything to keep the furniture stable. The furniture is easily able to be pulled over and poses a hazard.

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

Noncompliance Area: The written plan identifying the means of transporting a child to emergency care and staffing provisions was not posted conspicuously in the Preschool/Pre-K or Older Toddler classrooms.

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: The record for Child #1 was reviewed during the inspection on 2/14/19. The child has a health report on file dated 12/1/17, but does not have any updated health reports in the file. The child is a young toddler and would be required by regulation to have two updated health reports since the report in the file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: Child #2, a preschool-aged child enrolled at the facility, has updated health reports and immunization records on file that were reviewed during the inspection on 2/15/18. The updated immunization record shows that the child has not received a flu vaccine since 11/20/15, which is not in accordance with the schedule recommended by the ACIP, and a letter of exemption from the parent was not present in the file.

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

Noncompliance Area: The diaper changing pad in the infant classroom was observed to have a tear in the top, exposing the inner foam and rendering the pad unable to be fully sanitized between diaper changes.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: During the renewal inspection on 2/14/19, there was no proof from the facility that a written notice had been provided to the local traffic safety authority in accordance with the regulations. These written safety routes were also not observed to be posted at the 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. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: A piece of molding along the bottom of the wall in the Preschool/Pre-k classroom in the block area was observed to be peeling away from the wall.

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: Both sides of the stairs on the climber were observed to have peeling surfacing.

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: A Boudreaux's Butt Paste diaper cream was observed in a child's bin in the bathroom of the toddler classroom, but the medication expired in 05/18.

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

Noncompliance Area: CHILD SERVICE REPORTS, OR OTHER APPROVED REPORTS, WERE NOT COMPLETED WITHIN THE LAST 6 MONTHS FOR CHILD #2 OR CHILD #3.

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: EMERGENCY CONTACT FORM FOR CHILD #1 DID NOT CONTAIN HEALTH INSURANCE POLICY INFORMATION.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: MULTIPLE DIAPER CREAMS IN THE INFANT AREA WERE OBSERVED TO BE UNLABELED WITH CHILDREN'S NAMES FOR ADMINISTRATION.

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.

Noncompliance Area: DIAPER CREAMS WERE OBSERVED IN THE INFANT CLASSROOM, BUT PARENT PERMISSION TO ADMINISTER THE MEDICATIONS WERE NOT ON FILE, NOR WERE MEDICATION LOGS COMPLETED WHEN THE CREAMS WERE ADMINISTERED.

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: STAFF #5 BEGAN WORKING IN CHILD CARE ON 9/18/17, BUT DID NOT OBTAIN A HEALTH ASSESSMENT UNTIL 10/16/17. STAFF #6 BEGAN WORKING IN CHILD CARE ON 10/30/17, BUT AS OF THE INSPECTION ON 2/8/18, HAD NOT YET RECEIVED RESULTS OF A TB TEST OR CHEST X-RAY COMPLETED WITHIN 12 MONTHS PRIOR TO START DATE.

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: STAFF #6 WAS OBSERVED TO CHANGE TWO DIAPERS IN THE INFANT ROOM, THEN USE HAND SANITIZER AFTER THE DIAPER CHANGES INSTEAD OF WASHING HANDS.

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

Noncompliance Area: MULTIPLE EMERGENCY CONTACT FORMS IN THE PRESCHOOL/PREK AND TODDLER CLASSROOMS WERE NOT UPDATED WHEN THE FORMS IN THE MASTER FILE WERE UPDATED.

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

Noncompliance Area: RECORDS FOR STAFF #2, #4, AND #7 DO NOT CONTAIN PROOF OF HIGH SCHOOL COMPLETION. FILE FOR STAFF #1 DOES NOT CONTAIN PROOF OF EXPERIENCE PRIOR TO WORKING AT THE DAYCARE IN ORDER TO QUALIFY IN THE PROPER POSITION.

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

Noncompliance Area: MANDATED REPORTER TRAINING FOR STAFF #5 WAS NOT COMPLETED WITHIN THE FIRST 90 DAYS OF EMPLOYMENT.

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

Noncompliance Area: AN OUTLET WAS OBSERVED TO BE UNCOVERED BEHIND THE BLUE AND TEAL CHAIR IN THE TODDLER CLASSROOM.

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

Noncompliance Area: HAND SOAP WITH A LABEL STATING TO KEEP OUT OF REACH OF CHILDREN WAS OBSERVED IN THE PRESCHOOL BATHROOM ON THE COUNTER, ACCESSIBLE TO CHILDREN.

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

Noncompliance Area: A WHITE TRASH CAN CONTAINING CONTAMINATED TRASH WAS OBSERVED IN THE PRESCHOOL CLASSROOM, NEAR THE DOOR TO THE INFANT ROOM, WITHOUT A LID.

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

Noncompliance Area: CORDS FOR THE MOUNTED TELEVISION IN THE PRESCHOOL CLASSROOM WERE OBSERVED TO BE HANGING WITHIN REACH OF CHILDREN, POSING A HAZARD.

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

Noncompliance Area: THE SINK IN THE INFANT CLASSROOM NEAR THE DIAPERING AREA WAS NOT TURNED ON AND OPERATING PROPERLY DURING THE INSPECTION.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: THERE WAS MYLECON IN THE INFANT ROOM THAT WAS NOT LABELED FOR USE 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.

Noncompliance Area: STAFF #1 DOES NOT HAVE VERIFICATION OF EXPERIENCE OR EDUCATION ON FILE AT THE FACILITY.

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

Noncompliance Area: STAFF #1 DOES NOT HAVE TWO WRITTEN, NONFAMILY REFERENCES ON FILE AT THE FACILITY.

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 COUCH IN THE PRESCHOOL CLASSROOM IS RIPPED, REVEALING EXPOSED FOAM.

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: FACILITY PERSONS #1, 2, AND 4 DID NOT HAVE TB TEST RESULTS ON FILE AT THE FACILITY CONDUCTED WITHIN 12 MONTHS PRIOR TO THEIR START DATE.

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: FACILITY PERSON #1 AND #4 DID NOT HAVE AN FBI CLEARANCE ON FILE PRIOR TO START DATE. FACILITY PERSON #3 DOES NOT HAVE AN FBI CLEARANCE ON FILE AT THE FACILITY.

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 #3 may not work in a child care position at the facility until FBI Clearance is obtained.

Noncompliance Area: THERE IS AN ELECTRICAL OUTLET THAT DOES NOT HAVE A PROTECTIVE COVER IN THE TODDLER CLASSROOM.

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

Noncompliance Area: THE TRASH CANS IN THE PRE-K AREA THAT HAVE ITEMS THAT ARE CONTAMINATED BY HUMAN SECRETIONS DO NOT HAVE LIDS.

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

Noncompliance Area: THERE IS PEELING PAINT ON THE GREEN WALL IN THE PRE-K CLASSROOM. THERE IS PEELING PAINT ON THE FENCING AROUND THE PLAYGROUND.

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