Hilltop Community Childrens Center

Noncompliance Area: The child file for Child #2 contained a financial agreement form that lacked the name(s) of the person(s) 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: The child file for Child #3 contained an emergency contact information form that lacked the addresses for two of the individuals designated by the parent who 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: The child file for Child #1, who is a preschool aged child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP.

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

Noncompliance Area: The staff file for Staff person #1, who has a start date working in childcare of 7/19/20, lacked valid mandated reporter training; the mandated reporter training verification that was on file lacked a date in which it was completed thus making it difficult to determine if it was completed within 90 days from staff's first day working in childcare as required by the CPSL. The staff file for Staff person #4, who has a start date working in childcare of 3/13/20, contained documentation of mandated reporter training dated 6/25/20 which was not completed within 90 days from date of hire as required by the CPSL. The staff file for Staff person #5, who has a start date working in childcare of 9/18/19, contained documentation of mandated reporter training dated 2/17/20 which was not completed within 90 days from date of hire as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The staff file for Staff person #1, who has a start date working in child care of 7/19/20, lacked documentation of having applied for and received a State criminal history check, a State sex offender registry check, and a State child abuse and neglect registry check from the States in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The staff file for Staff person #1 also contained an NSOR certificate dated 9/8/20 which was not on file by the 45th calendar day after Staff person #1's start date of 7/19/20 as a provisional hire as required by the CPSL. The staff file for Staff person #2, who has a start date working in child care of 7/20/20, applied for an NSOR certificate on 7/15/20, however a NSOR certificate was not on file by the 45th calendar day after Staff person #2's start date of 7/20/20 as a provisional hire as required by the CPSL. The staff file for Staff person #3, who has a start date working in child care of 7/20/20, contained a State Police clearance dated 7/21/20 and there was no application on file of having applied for the State Police clearance prior to working with children as required by the CPSL. The staff file for Staff person #3 also contained a FBI clearance dated 7/29/20, which was obtained after hire date, and there was no documentation on file of the date and COVID-19 related reason Staff person #3 was hired without evidence of FBI Criminal History Background Check as required under House Bill 360. The staff file for Staff person #6, who has a start date working with children of 10/10/19, applied for a NSOR certificate on 10/9/19, and the NSOR certificate was not on file by 12/31/19 which was the date in which the provisional hire period was no longer valid per the CPSL; The NSOR certificate on file is dated 1/23/20. The staff file for Staff person #7 contained a current State Police clearance and current Child Abuse clearance that were not renewed 60 months from the date of the existing clearance; the State Police clearances on file are dated 3/11/15 and 9/14/20 and the Child Abuse clearances on file are dated 6/10/15 and 9/18/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 -- may not work in a child care position at the facility. 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 and #2--- may not work in a child care position at the facility.

Noncompliance Area: The staff file for Staff person #6, who is considered an Assistant Group Supervisor, contained proof of a CDA however lacked documentation of 1 year experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In the Young Preschool Art Room the sink located in the bathroom which is used by the children in care lacked a handwashing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: In the Older Toddler Room an orange plastic toy bin was observed to have a piece of the bin broken off causing it not to be in good repair. In the Young Preschool Room a yellow plastic file folder storage bin was observed to have a cracked corner causing a potential pinch point. In the School Aged Room a white plastic toy bin and a black plastic toy bin were both observed to contains cracks in the bins causing them not to be in good 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.

Noncompliance Area: The refrigerator located in the School Age Room was observed to lack a thermometer.

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.

Noncompliance Area: The child file for Child #5, who has been enrolled in care since 7/22/19, contained an initial health report dated 11/7/19 which was provided more than 60 days following the first day of attendance at the facility.

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

Noncompliance Area: The child file for Child #4, who was a young toddler, contained updated health reports that were not provided at least every 6 months for a young toddler; the dates of the last two health reports on file were 10/26/18 and 10/30/19.

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: The child file for Child #1 lacked a valid initial health report; the initial health report on file was not signed by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: The child file for Child #1, who is a preschooler,, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 11/16/16. The child file for Child #2, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/20/17. The child file for Child #3, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 1/3/19. The child file for Child #4, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP. The child file for Child #5, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/11/17.

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: In the Older Toddler Room, a tube of Neosporin was observed to lack 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: In the Older Toddler Room, the following medications were observed to be expired: a tube of diaper ointment dated 2/18, Neosporin dated 11/19, two tubes of Desitin diaper crme dated 5/18 and 5/19, a tube of Aquaphor healing ointment dated 5/19.

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

Noncompliance Area: The staff file for Staff person #5 contained an updated health assessment dated 5/4/19 which was conducted more than 24 months from the previously dated 12/14/16 health assessment. The staff file for Staff person #6 contained an updated health assessment dated 4/23/19 which was conducted more than 24 months from the previously dated 12/3/16 health assessment.

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

Noncompliance Area: The child file for Child #1 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review were 3/11/19 and 10/28/19. The child file for Child #3 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review were 11/13/18 and 9/5/19. The child file for Child #4 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review were 9/4/18 and 10/30/19.

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: The staff file for Staff person #2 lacked two nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Noncompliance Area: In the lunchroom, located on the main floor, three pizza cutters were observed to be stored inside an unlocked drawer accessible to children.

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

Noncompliance Area: The staff file for Staff person #5 and Staff person #6 contained documentation of having participated in fire safety training though it was not completed annually; the dates of the last two fire safety trainings on file were dated 2/18/18 and 1/7/20.

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

Noncompliance Area: The staff file for Staff person #1, who has a start date working with children of 5/2/19, contained a signed disclosure statement on file dated 12/12/19 which was not done prior to commencing employment as required by the CPSL. The staff file for Staff person #2, who has a start date working with children of 7/18/19, lacked a valid State Police clearance; the clearance on file was listed as 'Request Under Review'. The staff file for Staff person #4, who has a start date working with children of 12/3/19, and was considered a provisional hire, lacked a valid DHS FBI clearance and NSOR certificate; the facility did not have an approved provisional hire waiver on file to continue to be allowed to hire provisionally after 12/31/19.

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

Noncompliance Area: The staff file for Staff person #5 and Staff person #6 lacked documentation of having a written staff evaluation completed for 2018.

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

Noncompliance Area: In the Young Toddler Room, in the kitchen area, an electrical outlet located to the left of the kitchen counter was observed to lack one protective cover.

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

Noncompliance Area: In the Older Toddler Room, in the bathroom area, three aerosol air freshener sprays were observed to be stored on the bottom shelf inside an unlocked cabinet underneath the changing table and were accessible to the 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: In the Older Preschool Room, in the reading area located behind a blue pleather children's couch, were two ethernet cable wall plugs that were not secured to the wall exposing the sharp screw point which was accessible to the children and posed a potential safety 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: In the Older Preschool Room, in the reading area located behind a blue pleather children's couch, damaged paint and plaster was observed where two ethernet cable wall plugs used to be secured to the wall but had since come unsecured.

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

Noncompliance Area: Facility person #1 has been named as a perpetrator in an indicated report of child abuse.

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Noncompliance Area: **At approximately 9:37am upon entering the young toddler room Staff person #1 was observed in the bathroom changing a child's diaper. Outside on the deck, Staff person #2 was observed outside with 6 young toddlers causing them to not be in compliance with staff: child ratios of 1:5. Staff person #1 came back outside with the one child and compliance with staff: child ratios were resumed.

Correction Required: The director will conduct random assessments of each classroom at least once daily, at various times of the day, for the next 3 months following the approval of this plan of correction. During the assessment, the director will ask each staff person in each classroom to identify the children that are in their group, and are therefore, responsible for. The director will document in a log, the date, time, number of staff persons, number and ages of children in each assigned group. The log will be submitted to the Department for approval prior to implementation. The log will be made available to OCDEL-DHS representatives upon request.

Noncompliance Area: At approximately 9:43am upon entering the preschool art room staff #4 and 10 children of mixed ages (1 OT and 9 PSA children) were observed causing them to not be in compliance with staff: child ratios. Staff #3 was in the adjoining preschool play room putting away blankets which caused them to be out of ratio. Staff person #3 returned to the preschool art room and resumed compliance with staff: child ratios.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: **During a complaint investigation initiated on 4/25/19, it was verified on 4/25/19 during staff interviews that child #1 had been left outside alone on the facility playground, anywhere from a few minutes to less than 5 minutes, until Staff person #1 happened to go outside and saw child standing at the door by himself.

Correction Required: Legal entity must arrange for all facility staff to receive a minimum of three hours of training regarding supervision of children. The legal entity must receive DHS approval of training content prior to scheduling training. Proof of training will be submitted upon completion and may not be counted towards annual training hours. Compliance will be verified through multiple onsite unannounced inspections.

Noncompliance Area: During a complaint investigation initiated on 4/25/19, it was verified on 4/25/19 during staff interviews that child #1 had been left outside alone on the facility playground, anywhere from a few minutes to less than 5 minutes, until Staff person #1 happened to go outside and saw child standing at the door by himself. Also on 4/25/19, at approximately 10:55am in the Preschool Room, 1 staff and 10 Preschool aged children were observed. Staff person #2 was asked to identify and name the children whom she was responsible for. Staff person #2 identified and named 4 children thus leaving 6 children unaccounted for. Staff person #2 was again asked to identify and name the children for whom she was responsible for. Staff person #2 identified and named the same 4 children thus leaving the same 6 children unaccounted for. On the third attempt Staff person #2 was able to identify and name all 10 children whom she was responsible 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.

Noncompliance Area: During a complaint investigation initiated on 4/25/19, it was verified on 4/25/19 during staff interviews that child #1 had been left outside alone on the facility playground, anywhere from a few minutes to less than 5 minutes, until Staff person #1 happened to go outside and saw child standing at the door by himself.

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.

Noncompliance Area: The child file for child #3 contained an emergency contact information form that lacked signed parent consent for emergency medical care; only the parent initials were present where a signature is required.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The child file for child #3 contained an emergency contact information form that lacked signed parent consent for administration of minor first-aid procedures by facility staff; only the parent initials were present where a signature is required.

Correction Required: 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 child file for child #3 contained an emergency contact information form that lacked signed parent consent for transportation, walking excursions, swimming and wading; only the parent initials were present where a signature is required.

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

Noncompliance Area: The follow toys were observed to not be in good repair: in the Infant Room the fabric on toy foam truck was observed to be torn near the wheels exposing the inside foam, in the Preschool Room a stuffed toy animal was observed to be torn near the legs, and in the School Age Room a small pink plastic dollhouse chair was observed to be missing two of its legs.

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: In the Younger Toddler Room, one crib and seven cots used as rest equipment were observed to not be labeled for the use of a specific 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: In the Younger Toddler Room, at approximately 12:35pm, Staff person #3 and #4 were observed to be standing to the left of the doorway in front of the children's cubbies. Four children were observed asleep on cots in the upper manipulative play area and both staff were unable to properly see, hear, and assess the needs of those children in the manipulative play area due to the walls

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: In the Older Toddler Room, at approximately 9:36am, one staff and 6 older toddlers were observed. Staff person #1 was asked to identify and name the children whom she was responsible for. Staff person #1 identified and named 3 children thus leaving the other 3 children unaccounted for. Staff person #2 reentered the room with one older toddler. Staff person #2 was asked to name the children whom she was responsible for and Staff person #2 named 4 children, including the 3 that were previously 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.

Noncompliance Area: The child file for child #2 contained an emergency contact information form that lacked the address for one of the designated release persons.

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

Noncompliance Area: The Infant Nap Room was observed to lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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: In the Young Toddler Room toothbrushes used by the children were observed to be stored with the bristles down.

Correction Required: Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Noncompliance Area: The hands-free covered can in the Older Toddler Room was observed to not be functioning as hands-free.

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

Noncompliance Area: The child file for child #1 contained a financial agreement form that was not reviewed and updated by the parent at least once in a 6-month period; the last date of review/update was 1/17/18. The child file for child #2 contained a financial agreement and an emergency contact information form that was not reviewed and updated by the parent at least once in a 6-month period; the dates of review/update for the financial agreement from are 1/9/18 and 8/13/18 and the dates for the emergency contact information form are 8/25/17 and 8/13/18. The child file for child #3 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last date of review/update was 1/13/18.

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: In the kitchen on the main floor, where the children eat meals, a potato peeler and two steak knives were observed to be stored in an unlocked top drawer to the left of the refrigerator. In the upstairs kitchen, which is accessible to the children on that floor, a pair of adult scissors, matches, and two knives were observed inside an unlocked drawer to the right of the stove.

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

Noncompliance Area: The staff file for staff person #1, who was considered a provisional hire and had a start date working with children of 2/19/18, lacked a copy of a request for a State Police clearance prior to working with children as well as a copy of verification that the individual submitted fingerprints for the FBI clearance prior to working with children; only a pre-enrolled status of 2/27/18 with an appointment date of 3/7/18 was on file. The staff file for staff person #2, who was considered a provisional hire and had a start date working with children of 5/19/18, lacked a copy of verification that the individual submitted fingerprints for the FBI clearance prior to working with children; the receipt on file was dated 5/26/18.

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

Noncompliance Area: The staff file for staff person #3 lacked a staff evaluation for 2017; the dates of evaluations on file were 10/28/16 and 10/1/18. The staff file for staff person #4 lacked a staff evaluation for 2017; the dates of evaluations on file were 10/28/16 and 10/22/18.

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

Noncompliance Area: A small fragrance spray can and a tube of petroleum jelly labeled 'Keep Out of Reach of Children' were observed on top of the bathroom counter in the upstairs staff bathroom which is considered accessible to the children in care on that floor. In the children's bathroom upstairs a bottle of Lysol toilet bowl cleaner and spray bottle of hard surface cleaner labeled 'Keep Out of Reach of Children' were observed inside the bathroom closet which was unlocked and 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.

Noncompliance Area: The door to the preschool room, which is next to the kitchen entryway, was observed to be unlocked allowing access to the kitchen which contains a free standing elective range oven which staff self reported is used to heat up the children's lunches.

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

Noncompliance Area: On the second floor, in the PreK Room, a window to the right of a narrower window was observed to have a broken modification latch allowing the window to open 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.

Noncompliance Area: The Rec Room lacked a first-aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: In the Rec Room the following items were observed to not be in good repair: upon entering the room the carpeted baseboard along the wall to the right was observed to be torn and coming off of the wall and an electrical outlet covering located in the middle of the long wall, to the left upon entering, was observed to be loose and hanging 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: In the Infant Room damaged plaster was observed near the baseboard to the left of the shelving unit in quiet area.

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

Noncompliance Area: At approximately 1:38pm in the older toddler room Staff Person #1 was present with 3 older toddlers and 1 school aged child. When Staff Person #1 was asked to name the children for whom she was responsible for Staff Person #1 replied that she was just filling in for Staff Person #2 who left the room to call a parent of an ill child on Staff Person #1's behalf. Staff Person #1 stated that the children present in the room were not her children and that she did not know the names of the children in the older toddler room.

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

Noncompliance Area: In the School Age Room a plastic dinosaur with a missing tail and a plastic gorilla with a missing arm were observed to not be in good 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.

Noncompliance Area: The refrigerator in the Young Toddler Room lacked a thermometer.

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.

Noncompliance Area: At around 1:30pm in the Pre K Room, insufficient lighting was observed preventing staff from being able to properly see and supervise the children during nap time. **At 1:40pm in the Pre K Room during nap time Staff Person #1, who was the only staff person in the room at that particular time, was unable to properly see, direct, and assess two preschool aged children who were napping on cots at the far end of the room due to two long tables and multiple chairs obstructing the view of the children from where Staff Person #1 was positioned.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: The child file for child #2 contained a financial agreement form that lacked the arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The child file for child #1 contained a financial agreement form that lacked the name(s) of the person(s) designated by the 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: The child file for child #2 contained an emergency contact information form that lacked the address of one of the designated release persons.

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

Noncompliance Area: The child file for child #3, who has an enrollment date of 12/13/16, lacked an initial health report within 60 days of the first day of attendance.

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: In the Older Toddler Room four toothbrushes were observed to be unlabeled.

Correction Required: A child shall have a labeled toothbrush if brushing teeth is a program activity.

Noncompliance Area: In the Older Toddler Room toothbrushes were observed to have caps on them preventing them from being exposed to circulating air.

Correction Required: Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Noncompliance Area: The staff file for staff person #1, who has a start date in childcare of 5/19/17, contained an initial health assessment dated 6/12/17 which was after their first day of employment in child care. The staff file for staff person #2 contained a health assessment dated 3/3/17 which was conducted more than 24 months from the previously dated health assessment of 2/5/15. The staff file for staff person #3 contained a health assessment dated 10/10/16 which was conducted more than 24 months from the previously dated health assessment of 3/31/14.

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 staff file for staff person #4 lacked two nonfamily references. The two references on file were from family members.

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 facility emergency plan lacked for shelter in place in the event of an emergency.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: The staff file for staff person #4, who has a start date in childcare of 4/11/17, does not contain verification that the individual submitted fingerprints for the FBI clearances as required for a provisional hiring under the CPSL. Only the proof of having registered was 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: The staff file for staff person #2 and #3 contained staff evaluations that were not completed every 12 months. The evaluations on file for staff person #2 were dated 9/16/15 and 11/1/16. The evaluations on file for staff person #3 were dated 9/5/15 and 10/28/16.

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

Noncompliance Area: The staff file for staff person #5, who is considered an Aide, lacked detailed proof of having 2 years experience with children.

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

Noncompliance Area: Staff and children were observed to be utilizing a downstairs room which was not listed as part of the capacity and not measured as a play space at time of the renewal.

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child

Noncompliance Area: In the school age bathroom used by the children a Lysol bottle was observed underneath the far right cabinet underneath the sink. In the upstairs staff bathroom a bottle of Lysol, window cleaner, and a bottle of AJAX was observed to be stored in a cabinet underneath the sink closest to the doorway which was unlocked and 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.

Noncompliance Area: In the Pre K Room, in the pretend dress up area, an electrical outlet box was missing leaving a hole in the wall causing the wall to not be in good repair.

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

Noncompliance Area: Peeling paint or plaster was observed on the base board in the following rooms: In the Preschool Room to the left of the double doors, in the Infant Room on the left pillar outside of the Nap Room, in the Pre K Room to the left of the doorway, and in the hallway to the left of the Preschool double doors.

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

Noncompliance Area: At around 1:30pm in the Pre K Room, insufficient lighting was observed preventing staff from being able to properly see and supervise the children during nap time.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: In bathroom in the Preschool Art Room lacked a hand washing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.