Hundred Acre Woods Day Care And Learning Center

Noncompliance Area: The file for child #2 and #3 contained an original agreement form.

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

Noncompliance Area: The file for child #4 lacked an address for the physician.

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

Noncompliance Area: The file for child #1 lacked enrolling parents work address and phone number. The file for child #3 lacked the enrolling parents home address and phone number and work address and phone number.

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

Noncompliance Area: The emergency contact information for child #4 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: The file for child #2 and #3 lacked an address for a release person.

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 file for child #3, with a start date of 7/24/18, had an initial health assessment dated for 10/3/18, which is over the 60 days.

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: Parental consent was not obtained for child #1 for walking excursions.

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

Noncompliance Area: No emergency plan on file at the facility.

Correction Required: The facility shall have an emergency plan

Noncompliance Area: No documentation that the emergency plan had been reviewed annually.

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.

Noncompliance Area: Emergency plan was not posted within the facility.

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

Noncompliance Area: In the bathroom, the red paint was chipping and peeling off of the wall. In the front entryway, coming up the stairs, it was observed that the plaster was chipping and peeling.

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

Noncompliance Area: The facilities last fire drill was conducted on 9/13/19, which is over 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: Evacuation routes were not posted.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: Observed the outdoor play area had two climbers with detached panels. Observed the outdoor play area contained trash in several spots. Observed a dirty mattress in the school age room. Observed the toys used by the children needed to be cleaned.

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: Observed the refrigerator in the school age room was unstable and was not clean.

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: Observed child file #1, 2, 3, 4, and 5 contained original agreements.

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

Noncompliance Area: Observed child file #3 did not contain the health insurance policy number.

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: Observed child file #4 did not contain the address for 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: Observed child file #1 and #3 did not contain an initial health report dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: Observed the facility did not have a copy of the notification to the 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.

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: Observed staff file #3 did not contain documentation of fire safety training within the previous 12 months.

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: Observed staff file #1, who has been employed for more than 90 days, did not contain documentation of the CPSL required mandated reporter training. Observed staff file #1, contained all three required valid clearances which were dated more than 9 months after staff #1 first day working in a childcare position.

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

Noncompliance Area: Observed staff file #1 and #2 did not contain documentation of 2 years of experience with children(2500 hours).

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: Observed the emergency telephone numbers were not posted by the telephone 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.

Noncompliance Area: Observed a detached fence post cap and several spots of damaged green fencing in the facilities outdoor play area. Observed a detached metal mailbox in the hallway by the entrance to the facility. Observed 2 glass doors, which are used by the children to enter the facility, were both shattered and created a visible and physical hazard to the children. Observed in the school age room, the door to the furnace room was not lacked and had loose hinges. Observed in the school age room a hanging cord which could be reached and pulled on by the school age children.

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

Noncompliance Area: Observed multiple spots of damaged plaster and peeling paint in the hallway used by the children to enter the building. Observed the children had access to large amounts of peeling paint in the stair area leading up and down from the facilities entry way. Observed a spot of damaged plaster/paint on the yellow wall in the school age room.

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

Noncompliance Area: Observed the double doors used by the children to enter and exit the building were blocked by a vending machine.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: Observed the documented fire drill log showed the last completed fire drill was conducted on 9/20/18 which is more than 60 days ago and another fire drill has not been conducted.

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: Observed the fire evacuation routes were not posted in the facility.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: The agreement for Child #3 did not specify the date of the child's admission. Previously cited on SIN-00137115

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

Noncompliance Area: The file for Child #3, did not contain an initial health report. The file for Child #4, whose start date was 1/4/2018 lacked a health report. The file for Child #5, whose start date was 5/8/2013 lacked an initial and subsequent health reports. Previously cited on SIN-00137115

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

Noncompliance Area: There was no documentation of comprehensive general liability insurance to cover the persons who are on the premises on file at the facility. Previously cited on SIN-00137115 .

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: The file for Child #3 and #4 lacked initial health reports. The file for Child #5, whose start date was 5/8/2013 lacks initial and subsequent health reports. Previously cited on SIN-00137115

Correction Required: A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for Child #3 lacks date of application and admission. Previously cited on SIN-00137115

Correction Required: A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: Employee and vehicle assets included as part of the written emergency plan were not updated as needed. Previously cited on SIN-00137115

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.

Noncompliance Area: The files for Staff Person #1 - #5 lacked documentation of participation in annual firesafety training. Previously cited on SIN-00137115 . .

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

Noncompliance Area: There was no fire drill log. Previously cited on SIN-00137115

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: There was an insufficient amount and variety of developmentally appropriate materials to meet the needs and interests of the children being served in the School-Age room. Previously cited on SIN-00137115

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: The agreement for Child #3 did not specify the date of the child's admission. Previously cited on SIN-00137115

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

Noncompliance Area: The file for Child #1 lacked the address and phone number of the child's physician or source of medical care. The file for Child #2 lacked the address of the child's physician or source of medical care. The file for Child #5 lacked the name, address and telephone number of the child's physician or source of medical care. Previously cited on SIN-00137115

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

Noncompliance Area: The files for Child #1, #2, #3 and #5 lacked emergency contact information that includes the written consent signed by a parent for emergency medical care. Previously cited on SIN-00137115

Correction Required: The files will be updated. Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: The files for Child #1 and #3 lacked emergency contact information the includes the address of the individual designated by the parent to whom the child may be released. The file for Child #2 lacked emergency contact information that included the address and phone number of the individual designated by the parent to whom the child may be released. Previously cited on SIN-00137115

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 file for Child #3, did not contain an initial health report. The file for Child #4, whose start date was 1/4/2018 lacked a health report. The file for Child #5, whose start date was 5/8/2013 lacked an initial and subsequent health reports. Previously cited on SIN-00137115

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: Lunch served on the day of the inspection consisted of a ham and cheese sandwich and a cup of milk.

Correction Required: A lunch or dinner prepared at the facility for children will include all the meal components required to be a full complete meal.

Noncompliance Area: There was no documentation of comprehensive general liability insurance to cover the persons who are on the premises on file at the facility. Previously cited on SIN-00137115

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: There was no file for Child #3.

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

Noncompliance Area: The file for Child #3 and #4 lacked initial health reports. The file for Child #5, whose start date was 5/8/2013 lacks initial and subsequent health reports. Previously cited on SIN-00137115

Correction Required: A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for Child #3 lacks date of application and admission. Previously cited on SIN-00137115

Correction Required: A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: The files for all of the children enrolled at the facility were located in an unlocked cabinet. Previously cited on SIN-00137115

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Noncompliance Area: Employee and vehicle assets included as part of the written emergency plan were not updated as needed. Previously cited on SIN-00137115

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.

Noncompliance Area: The files for Staff Persons #1 - #5 lacked documentation of training regarding the emergency plan upon initial employment and 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: The files for Staff Person #1 - #5 lacked documentation of participation in annual firesafety training. Previously cited on SIN-00137115

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

Noncompliance Area: There was no fire drill log. Previously cited on SIN-00137115

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: There was an insufficient amount and variety of developmentally appropriate materials to meet the needs and interests of the children being served in the School-Age room.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: An "L" bracket was protruding from the red shelving unit posing unsafe conditions.

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

Noncompliance Area: The agreements for Child #3, #4 and #5 were not signed by the parent.

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

Noncompliance Area: The files for Child #2 and #3 lacked 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 files for Child #1, #2 and #3 lacked the child's arrival and departure times.

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

Noncompliance Area: The agreements for Child #2, #3 and #4 did not specify the persons 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 agreement for Child #3 did not specify the date of the child's admission.

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

Noncompliance Area: The file for Child #1 lacked the address and phone number of the child's physician or source of medical care. The file for Child #2 lacked the address of the child's physician or source of medical care. The file for Child #5 lacked the name, address and 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: The files for Child #1, #2, #3 and #5 lacked emergency contact information that includes the written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: The files for Child #1 and #3 lacked emergency contact information the includes the address of the individual designated by the parent to whom the child may be released. The file for Child #2 lacked emergency contact information that included the address and phone number of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: The file for Child #3, did not contain an initial health report. The file for Child #4, whose start date was 1/4/2018 lacked a health report. The file for Child #5, whose start date was 5/8/2013 lacked an initial and subsequent health reports.

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 most current health assessment on file for Staff Person #5, who provides direct care to the children, is dated 9/14/2015.

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 Staff Person #1 lacked a health assessment that included tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: A container of Chicken alfredo, that was identified as the children's lunch, was sitting on the table upon entrance to the room and not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: During the inspection the staff person attempted to put a container of chicken alfredo, meant to be served to the children for lunch into the refrigerator but, the refrigerator was not large enough to hold all of the items that needed refrigerated.

Correction Required: A facility shall provide a sufficient number of refrigerators to contain foods which require refrigeration.

Noncompliance Area: The lunch, prepared by the facility, lacked a dairy product.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Noncompliance Area: There was no documentation of comprehensive general liability insurance to cover the persons who are on the premises on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: The file for Child #1 indicated a 6 month review was conducted on 2/10/2015 and then not until 1/14/2017. The file for Child #1 has not been reviewed since 1/14/2017. The file for Child #2 indicates it has not been reviewed since the admission date of 7/3/2013. The file for Child #5 was reviewed on 5/12/2016 and not again until 2/27/2018.

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 file for Child #3 and #4 lacked initial health reports. The file for Child #5, whose start date was 5/8/2013 lacks initial and subsequent health reports.

Correction Required: A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for Child #3 lacks date of application and admission.

Correction Required: A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: The files for Child #1, #2, #3 and #5 lack signed parental consent for emergency medical care for the child.

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 files for Child #1, #2, #3 and #5 lack signed parental consent for administration of minor first-aid procedures by facility staff.

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 files for all of the children enrolled at the facility were located in an unlocked cabinet.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Noncompliance Area: The file for Staff Person #1 lacked documentation of an initial and subsequent tuberculin skin test, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file for Staff Person #1 lacked documentation of Mandated Reporter Training and contained a Disclosure Statement that was not witnessed or dated. . The file for Staff Person #2 lacked documentation of Mandated Reporter Training and did not contain a signed Disclosure Statement. The file for Staff Person #3 lacked A signed Disclosure Statement, a State Police Clearance, an FBI Clearance, and documentation of Mandated Reporter Training.. The file for Staff Person #5 had a Disclosure Statement that was not dated. All documents listed are required by the CPSL and with Chapter 3490.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, 2, 3 and 5 may not work in a child care position at the facility.

Noncompliance Area: The file for Staff Person #1 and #2 lacked two written, 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: The current certificate of compliance was not posted in the facility.

Correction Required: The facility's current certificate of compliance 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: Employee and vehicle assets included as part of the written emergency plan were not updated as needed.

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.

Noncompliance Area: The files for Staff Persons #1 - #5 lacked documentation of training regarding the emergency plan upon initial employment and 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: The file for Staff Person #5 lacked documentation of 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 files for Staff Person #1 - #5 lacked documentation of participation in annual firesafety training.

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

Noncompliance Area: *The file for Staff Person #1 lacked documentation of Mandated Reporter Training and contained a Disclosure Statement that was not witness or dated. . The file for Staff Person #2 lacked documentation of Mandated Reporter Training and did not contain a signed Disclosure Statement. The file for Staff Person #3 lacked A signed Disclosure Statement, a State Police Clearance, an FBI Clearance, and documentation of Mandated Reporter Training.. The file for Staff Person #5 had a Disclosure Statement that was not dated. All documents listed are required by the CPSL and with Chapter 3490.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1, #2, #3 and #5 may not work in a child care position at the facility.

Noncompliance Area: There were no facility persons competent in first-aid techniques at the facility while there were children in care.

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

Noncompliance Area: *Upon entrance to the facility there was one staff person present with 3 children. No facility person was identified.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: The first-aid kit in the School-Age room lacked tweezers, adhesive bandages and sterile gauze pads.

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 School-Age room lacked a first-aid kit to accompany the children and facility persons on excursions from the facility.

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

Noncompliance Area: There was no fire drill log.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: At approximately 12:15 pm observed 10 children in the school-age room with no staff persons present.

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. Children must be supervised at all times.

Noncompliance Area: Observed a bottle on the table near the windows and a bottle an infant was carrying lacked a label to identify to whom the bottle belongs.

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

Noncompliance Area: A portable space heater that was plugged in and operating was located on the floor in the Infant/Toddler Room.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: In the Preschool/School-age Room the sensory table had a broken seat. A pink toy refrigerator located in the Preschool/School-Age room was broken making it wobbly and unsteady. There were exposed bolts on the toilets in the bathroom beside the kitchen and the bathroom attached to the Preschool/School-age room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: There were no staff person's present at the time of the inspection who had access to files and records.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Noncompliance Area: Staff persons #1, #2 and #3 were all working in the Infant/Toddler Room. When asked who the director designated as the responsible person in her absence, all three staff members identified Staff Person #4 as the person in charge at that time. Staff person #4 was working in the Preschool/School age Room. When CR asked Staff Person #4 who the director designated as the responsible person, since the director was not present during the inspection. Staff Person #4 denied being the designated staff person and identified Staff Member #1 as the responsible person in the director's absence.

Correction Required: A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Noncompliance Area: Observed a television in the school age room which was not securely anchored to its stand. Observed a wooden shelf on wheels and a green shelf in the infant/toddler room which were nor stable or securely anchored to the wall. Observed a safety strap on a table chair which was missing a buckle. Observed in the preschool room a dress up cubboard which was not stable and was not securely anchored to the wall. Observed a rock table which was unsteady and could tip over if a child leaned back while sitting at the table.

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: Observed a plastic toy which a toddler had in their mouth, was placed in a bin of other toys without being washed and sanitized.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Noncompliance Area: Observed children's files #1 and #3 did not contain the address of the release person.

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: Observed child file #2 contained an initial health assessment which was dated more than 60 days following the first day of attendance at the facility. Observed child file #1, who has been in attendance for more than 60 days, 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.