Grether Camilo

Regulation: 3290.102(f)/3290.105(a)

Description: No hazardous toys/equipment/Clean, age appropriate

Noncompliance Area: Facility has a pack n play with a princess blanket in it used by the children that has two holes in the side netting of the pack n play. Another facility pack n play had a 3-month-old infant in the pack n play at the time of the renewal inspection had a netting covering the top of the pack n play the operator stated was to make sure the infants sibling didn't throw objects in the pack n play while the infant was in the pack n play.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility. Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.11(e)(7)

Description: Emergency preparedness

Noncompliance Area: The emergency plan does not have continuity of operations listed in the plan.

Correction Required: Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)).

Regulation: 3290.133(3)

Description: Name on bottle

Noncompliance Area: There is Desitin cream for a child that does not have the child's name marked on the cream.

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: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: There are unlabeled bottles in the kitchen used by an infant at the facility.

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

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child # 1 & 2 do not have signed consents for emergency medical acre and minor first aid.

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

Regulation: 3290.21(f)

Description: Photo ID

Noncompliance Area: Operator has a PA DL that expired 8/7/25.

Correction Required: A valid photo identification of the operator or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Regulation: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: Facility staff # 1,2 and 3 all have NSOR clearances on file that are more than 60 months old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) Facility Person # 1,2,& 3 may not work in a childcare position at the facility.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child # 1 has not had a child service report completed in over 6 months since 4/26/23.

Correction Required: An agreement shall specify 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 at § 3290.124(e).

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child # 2 does not have release persons designated or listed on their fee agreement.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the renewal inspection, staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was completed on 10/2/23.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete any updates to the health and safety training by the required timeframes.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the inspection, the operator did not have a current copy of the certificate of compliance posted. The copy that was posted expired 1/2/22. There was also no instructions for contacting the appropriate regional child care office posted at the same location.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During the inspection, the operator did not have documentation of completing emergency drills annually.

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

Regulation: 3290.64(c)

Description: Toxic plants not permitted

Noncompliance Area: During the inspection, a Pothos plant was observed in the childcare space.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3290.73(c)/3290.176

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: During the inspection, soap was missing from the first aid kit in the Volkswagen used for transporting children.

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 §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the inspection, the operator did not have smoke detectors that were interconnected and approved by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.11(h)(2)/3290.11(h)(2)(ii)

Description: Clearances for renewal application/Clearances for individuals residing in home

Noncompliance Area: During the renewal inspection, household member #4 who moved into the home in June 2022 did not have a completed NSOR certificate on file.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the childcare facility at least 30 days in a calendar year if any of the following apply: The individual moved into the childcare facility following the date of the previous application for a certificate of compliance. Act 47 requires that all household members obtain the NSOR certificate. Household member #4 will not be present in the home while children are in care.

Regulation: 3290.11(h)(2)/3290.11(h)(2)(ii)

Description: Clearances for renewal application/Clearances for individuals residing in home

Noncompliance Area: During the renewal inspection, household member #4 who moved into the home in June 2022 did not have a completed NSOR certificate on file.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the childcare facility at least 30 days in a calendar year if any of the following apply: The individual moved into the childcare facility following the date of the previous application for a certificate of compliance. Act 47 requires that all household members obtain the NSOR certificate.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection, the agreement and emergency contact forms for child #1, child #2, child #3 and child #4 were not reviewed/updated in writing by the parent during the previous 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. 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: 3290.174(a)

Description: Insured

Noncompliance Area: During the renewal inspection, the insurance for the Volkswagen used for transportation expired 9/9/22.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not have a written policy that included recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The provider's written policy must include, but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not update the sections of their emergency plans to address volunteer emergency preparedness training, practice drills, and continuity of operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection, the emergency contact form for child #2 did not have signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: During the renewal inspection, staff #1's Pediatric First Aid/CPR training expired on 10/10/22.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person(s) shall complete professional development in the topics of 3290.31(g) (10). Staff person #1 will have until 11/11/22 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, family childcare home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, household member #3 did not have clearances from the state of Alaska on file. Staff #3 had resided in Alaska during the previous 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. Household member #3 will not be present in the home while children are in care until all clearances from the state of Alaska are obtained.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, household member #3 did not have clearances from the state of Alaska on file. Staff #3 had resided in Alaska during the previous 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. Household member #3 will not be present in the home while children are in care until all clearances from the state of Alaska are obtained. The CPSL requirement stating anyone who has lived outside of Pennsylvania within the past 5 years must obtain State criminal history check, State sex offender registry check, State child abuse and neglect registry from the states they resided in during the previous 5 years.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection the operator did not have a fire drill log on file.

Correction Required: The operator 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: 3290.111(a)/3290.111(b)

Description: Written plan/Posted in area used by parents

Noncompliance Area: At the time of the inspection, the written plan of daily activities was not posted.

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

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: At the time of the inspection, there was no operator signature on the agreement for child #2.

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

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: At the time of the inspection, the agreement on file for child #1 did not include the fee amount or the date the fee is to be charged.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of the inspection, the agreement on file for child #2, 3 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.

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: At the time of the inspection, the date of admission was missing from child #2 agreement.

Correction Required: An agreement shall specify the date of the child's admission.A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of inspection, the address of the child's physician or source of medical care was missing from the emergency contact form for child #3.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the enrolling parent's work address was missing from the emergency contact form for child #3. The enrolling parent's home address was missing from the emergency contact form for child # 4 and 5.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection, the emergency contact form for child # 2 did not include health insurance coverage and policy number 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #1.

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: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was no written plan posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Regulation: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: At the time of the inspection, there was no annual influenza vaccine or exemption from the the influenza vaccine from the parent on file for child #1, 4 and 5.

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

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of the inspection, on the emergency contact form for child # 2, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the provider did not have verification on how the parent of each child enrolled in the facility is given information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of the inspection, in the emergency plan, there were no lock down procedures listed as well as no accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions during an emergency.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions. Once updated with lock down procedures and accommodations for infants and toddlers, the provider will send the emergency plan to county and local emergency management authorities.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was no record of emergency drills being conducted annually.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff #1 and 2 did not have a signed disclosure statement on file. Staff #1 did not have updated mandated reporter training on file. The current mandated reporter training on file was dated 11-20-16 and therefore expired on 11-20-21.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: At the time of the inspection, there was a can of Lysol and a bottle of Microban on a table by the back door, which was accessible to children.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: At the time of the inspection, the windows on the second floor were able to be opened more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: At the time of the inspection, the phone number of poison control was not included on the list of emergency phone numbers posted in the facility.

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.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection, the last fire drill that was conducted was documented as being done on 5-4-21 and not the 60 day fire drill requirement.

Correction Required: The operator 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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: At the time of the inspection, the evacuation routes of the home were not posted on each floor.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the provider did not have a manual monthly monitoring log of the fire detection devices. The provider did not have receipts of installation for the smoke detectors that were in place in the home.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the operator had 9 volt battery smoke detectors and not the required 10 year lithium ion smoke detectors on each floor of the home. The operator was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c).

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Noncompliance Area: Household member 1 did not have the state police clearance on file.

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.

Noncompliance Area: Child 1 did not have a child service report on file.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: On the date of inspection, 10/9/2019, it was found that there was not an operable smoke detector hooked up to the ceiling or the wall of the basement. Due to construction, it was taken down.

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

Noncompliance Area: The emergency plan was last reviewed in writing by operator on 11/14/2017.

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.

Noncompliance Area: When certification representative arrived to the facility, staff 1 was present with the children. When reviewing files, it was found that staff 1 did not have updated first aid training on file. The first aid training on file expired in November of 2018.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: Upon arrival, certification representative observed child 1 sleeping on a "sleep fixed positioner" that was not a crib or pack and play surfaces. There was no medical documentation on file. Certification representative also observed child 2, also 2 months old, sleeping in a pack and play with a toy in it.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Child 2 did not have a date of admission or health insurance coverage information on file.

Correction Required: An agreement shall specify the date of the child's admission.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: Child 3 had an outdated emergency form past six months. Child 2 did not have documentation of an emergency form and fee agreement filled out upon her date of admission.

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 informationA 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: The provider did not have infant bottles labeled.

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

Noncompliance Area: Child 1 did not have permission for emergency medical care and minor first aid.

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

Noncompliance Area: Facility's pack n' play, which is used by one specific child, was not labeled with the child's name on it.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Children 1-3 did not have updated emergency forms and fee agreements. They were last dated 11/15/2016.

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.

Noncompliance Area: Staff 1 did not have emergency plan training documented.

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.

Noncompliance Area: The facility's first aid kit was missing soap and twizzers.

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: INSPECTOR OBSERVED A CHILD LAYING IN THE PLAY PEN. THE PLAY PEN IS NOT LABELED FOR THE USE OF A SPECIFIC CHILD AND USED ONLY BY THE SPECIFIED CHILD.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: WHEN INSPECTOR ARRIVED, INSPECTOR RANG THE BELL AND NO ONE ANSWERED. INSPECTOR WALKED OVER TO THE WINDOW TO TAP AND ONBSERVED 2 CHILDREN FOLDING BABY CLOTHES ON THE COUCH. INSPECTOR ASKED ONE OF THE CHILDREN IF THERE WAS AN ADULT HOME. CHILD STATED YES AND BEGAN TO CALL DULCE. INSPECTOR WAS STILL AT THE WINDOW AND OBSERVED DULCE WALK FROM THE NEXT ROOM. THERE IS A STAIRCASE THAT BLOCKS THE VIEW AS IT SITS BETWEEN BOTH ROOMS. WHEN INSPECTOR ENTERED, INSPECTOR FOLLOWED STAFF 1 WHO WALKED STRAIGHT TO THE KITCHEN. INSPECTOR OBSERVED THE SAFETY GATE TO THE KITCHEN OPEN.

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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Children must be supervised at all times. The legal entity must arrange for all facility staff to receive three hours of PQAS approved training regarding supervision of children. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: STAFF 1 WAS COOKING ON THE STOVE AND DOES NOT HAVE THE SAFETY GATE CLOSED SO THAT THE CHILDREN DO NOT ENTER THE KITCHEN. THE STOVE DOES NOT HAVE A STOVE GUARD PREVENTING THE CHILDREN FROM TOUCHING THE HOT SURFACE.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: FACILITY'S CURRENT CERTIFICATE IS NOT POSTED.

Correction Required: The facility`s current certificate and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: FACILITY'S EMERGENCY PLAN IS NOT POSTED.

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

Noncompliance Area: INSPECTOR WAS ONLY ABLE TO VIEW STAFF PERSON 1'S STATE POLICE CLEARANCE DATED 11/1/12 AND STAFF PERSON 2'S CHILD ABUSE CLEARANCE DATED 11/8/12 AND FBI CLEARANCE DATED 11/7/12. INSPECTOR WAS NOT GIVEN A CHILD ABUSE CLEARANCE, FBI CLEARANCE AND MANDATED REPORTER TRAINING FOR STAFF 1 AND STATE POLICE CLEARANCE AND MANDATED REPORTER TRAINING FOR STAFF 2.

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, mandated reporter training and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: INSPECTOR OBSERVED A HOLE IN THE WALL UNDER THE BULLETIN BOARD.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play area, shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.