Sunshine Nursery Daycare Center Llc

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Upon inspection of the children's files, it was found that the agreements on file for Child #4 and Child #5, #3 were originals, rather than copies.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Upon inspection of personnel files, it was found that Emergency plan training was not conducted annually. The files for facility persons #1, #3, #4, #5 #6 and facility person # 7 included documentation of emergency plan training on 5.3.24 with an update on 6.1.25.

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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Upon inspection of the required documents to be on file at the facility, it was found that the parent emergency plan letter did not include provisions for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Upon inspection of the required documents to be on file at the facility, it was found that the emergency plan was not sent to the local municipality.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Upon inspection of personnel files, it was found that 12 hours of childcare training was not completed annually. The file for facility persons #4 and facility person #6 included documentation of 10.5 hours of training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Upon inspection of personnel files, it was found that fire safety training was not completed annually. The file for facility person #2 included documentation of fire safety training on 1.13.24 with an update on 3.13.25. The file for facility person #4 included documentation of fire safety training on 1.15.24 with an update on 4.16.25. The file for facility person #6 included documentation of fire safety training on 4.19.24 with an update on 8.21.25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Upon inspection of personnel files, it was found that the operator is not in compliance with the CPSL as the file for facility person #1 (DOH see LIS code sheet) did not update their child abuse clearances and NSOR results within 60 months. This is evidenced by child abuse certificates dated 5/11/2020 and 6/20/2025 and NSOR results dated 12/30/19 and 4/4/2025. The file for facility persons #3 , facility person #4, and facility person #6 (DOH see LIS code sheet) did not update their NSOR results within 60 months. This is evidenced by NSOR results for facility person #1 dated 12/30/19 and 3/26/2025 and NSOR results for facility person #4 dated 3/10/20 and 4/18/25 and NSOR results for facility person # 6 dated 3/10/20 and 3/26/25.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Upon inspection of personnel files, it was found that staff evaluations were not completed on an annual basis. The file for facility person #3 included documentation of staff evaluations on 3.13.24 and updated on 5.5.25. The file for facility person # 6 had an evaluation with a date of 1.17.25 and did not include documentation of prior year staff evaluation.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Upon inspection of the first aid kit in the PreK ( SACC) room, it was found that adhesive bandages were missing. (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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that the outdoor play surfacing was uneven and had at least 1-inch gaps creating trip hazards. The surfacing along the child play structure had several tiles which were severely uneven.

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: 3270.151(a)

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

Noncompliance Area: The file for facility person #1 did not have an updated health assessment completed within 24 months of their prior assessment. The file for facility person #1 contained health assessments dated 9/28/2021 and 10/02/2023.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Upon inspection, the operator did not have documentation of completing an annual emergency drill.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Upon inspection, the facility emergency plan was last reviewed by the operator on 8.31.23 beyond the annual time frame.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Upon inspection, a copy of the emergency plan was last sent to the local EMA on 8.30.23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Facility person #2 included a NSOR clearance result dated 8.5.2024 which was obtained after the 45 day provisional hire timeframe.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Facility person #1 tested the smoke detectors on 12.7.23 and 1.22.24, (46 DAYS), on 5.20.24 and 6.20.24, (31 DAYS), and again on 8.19.24 and 9.19.24 (31 DAYS), which is greater than the allowable 30 days between testing dates.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 did not complete the require training update PA Health and Safety Update 2022 dated 5.4.2023 within the prescribed frame of December 30, 2022, as outlined in Announcement C-22-06.

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: The file for Staff person #1 did not have an updated health assessment completed within 24 months of their prior assessment. The file for Staff person # 1 contained health assessments dated 1/16/2019 and 9/28/2021.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon inspection of the facility fire safety logs, it was found that a gap from 5.22.23 through 7.27 .23 existed in which no fire drill was logged. Therefore, the minimum of 60 days between required fire drills was exceeded.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The Toddler room classroom rug by the exit door was frayed along the edges and in need of repair.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: It was observed in the preschool room that a small blue resting chair was torn at the arm rest. It was also observed in the preschool room that the large blue lounge chair was torn in the middle of the seat cushion.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for Child #2 did not include a phone number of the child's physical or source of medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact information for Child #1, Child #2, Child #3 , Child #4, and Child #5 did not include complete addresses for release persons.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Facility person # 4, who provides direct care and comes into contact with children, has a health assessment dated 5/23/2019, which is longer than 24 months and is no longer valid. An updated health assessment was not on file.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 contained a mandated reporter training dated 12/7/2015 which is older than 60 months and is no longer valid. The file for staff person #2 contained a mandated reporter training dated 7/15/2016 which is older than 60 months and is no longer valid.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff person #3 contained a staff evaluation dated 6/22/2020 and did not have an updated annual evaluation on file.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first aid kit in the toddler room did not include soap.

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: The file for Staff person #1 (hired 9/1/2020) included an initial health assessment dated 9/15/2020, obtained after staff started working at facility.

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 file for child #2 (admission date 1/16/17), #5 (admission date 10/22/18) and #6 (admission date 10/30/17) did not include previous emergency contact information, therefore unable to determine if information was updated at least every 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: The file for child #6 (admission date 10/30/17) did not contain an initial health assessment.

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: The file for child #1 (DOB 5/21/19) does not contain an updated immunization record, only shows record for first Hep B shot at birth. The file for child #5 (DOB 3/2/18) and #7 (DOB 4/26/18) did not contain an updated health assessment.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The file for child #4 (DOB 10/5/11) was missing an updated health assessment for when child started Kindergarten.

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

Noncompliance Area: The medication log for child #8 did not contain a parent's signature. (CORRECTED ON SITE)

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

Noncompliance Area: It was observed that the facility did not have written statements from parents giving formula and feeding schedule for any of the infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The file for child #4 contained emergency contact information and a fee agreement with 6 month review dates but did not have the parent's signature to confirm the 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. 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: The file for child #1 and #3 did not contain parent's signature for consent for emergency medical care and administration of minor first aid procedures.

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: The file for child #1 and #3 did not contain parent's signature for consent for transportation and walking excursions.

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

Noncompliance Area: The file for child #2 (admission date 1/16/17), #5 (admission date 10/22/18) and #6 (10/30/17) contained only an updated fee agreement, no initial or previous agreements were in file.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: All Staff files did not include 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.

Noncompliance Area: It was observed that fire drills were not held at least every 60 days. The facility had a fire drill recorded on 5/15/19 and 8/28/19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Plastic bags were observed under the changing table, in an unlocked cabinet, accessible to children. (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: It was observed that the emergency plan was not posted in a conspicuous location. (CORRECTED ON SITE)

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

Noncompliance Area: While in the young toddler room, it was observed that there was 1 staff person with 7 young toddler children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Noncompliance Area: While in the infant room, it was observed that there was 1 staff person in the room alone with 5 infant children. Then another staff person came in, brought another child into the room, and then that staff left again, leaving the 1 staff person with 6 infant children.

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). The required staff:child ratios must be maintained at all times.

Noncompliance Area: The agreement for child #1 did not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The agreement for child #1,2, and 5 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The agreement for child #1 and 5 did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: Emergency contact information for child #2 did not include the telephone number of the child's physician or source of medical care.

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

Noncompliance Area: Emergency contact information for child #2 did not include the work telephone number of the enrolling parent and emergency contact information for child #3 did not include the work address of the enrolling parent.

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

Noncompliance Area: Emergency contact information for child #4 did not include health insurance coverage information for a child under a family policy or Medical Assistance benefits.

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: Emergency contact information for child #2 and 3 did not include 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.

Noncompliance Area: Emergency contact information was not present in any of the child care spaces for children receiving care in the space nor was it accompanying a staff person while on an excursion.

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.When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in any of the child care spaces nor was it accompanying a staff person who leaves on an excursion with children.

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: Facility person # 3 and 6 who both come into contact with children do not have a valid heath assessment on file. Facility person #3 has a health assessment dated 8/10/2016 and facility person #6 has a health assessment dated 6/29/2016 on file, both are longer than 24 months following the signature and are no longer valid.

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: It was observed five (5) bottles were not labeled with the child's name.

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

Noncompliance Area: The operator has not notified the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

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

Noncompliance Area: Safe pedestrian crossways, pick-up and drop-off points and bike routes have not been appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The operator has not sent a copy of the emergency plan to the county emergency management agency.

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

Noncompliance Area: Staff person #1,3 4, 5,6,7 and 8 have not obtained an annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The operator is not in compliance with the CPSL as staff person #2 whose first day working in child care was 3/8/2018 does not have Mandated Reporter training on file. The staff person has been employed longer than 90 days.

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

Noncompliance Area: The first-aid kit in the toddler room does not contain tweezers and soap, the first-aid kit in the infant room does not contain soap, the first-aid kit in the preschool/school-age room does not contain tweezers and soap and the transportation first-aid kit in the white and gray vans did not contain soap.

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: Fire drills have not been held at least every 60 days. The fire drill indicated drills were held on 3/6/2018, 6/7/2018 and 9/7/2018; the period between 3/6/2018 and 6/7/2018 was longer than 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: It was observed that all existing staff did not have training regarding the emergency on an annual basis.

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: It was observed that the facility did not hold a fire drill at least every 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Complaint investigation revealed that a child was restrained in a highchair as a means of controlling the child's behavior.

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

Noncompliance Area: It was observed that there was not an agreement for Child #6 and Child #7.

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

Noncompliance Area: It was observed that the emergency contact information for Child #2, #3, #4 and #5 did not include health insurance coverage and policy number, if applicable.

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

Noncompliance Area: It was observed that an initial health report was not on file for Child #2, #3, #4, #5 and #6 within 60 days following the first day of attendance at the facility.

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

Noncompliance Area: It was observed that there was not written verification of immunizations for Child #1 and Child #6 within 60 days following the first day of attendance at the facility.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: It was observed that there was not a file for Child #8.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: It was observed that the emergency contact information and the financial agreement was not reviewed at least once in a 6-month period for Child #1, #2, #3, #4 and #5.

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. 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: It was observed that the record of Child #1, #4 and #5 did not contain signed parental consent for emergency medical care and did not contain signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

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: In the toddler space, there were six children (youngest DOB 1-19-16) in care with one staff person.

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).