Imagination Land Day Care

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #4 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, there was no documentation on file that the operator notified 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 childcare 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 child care facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, there was a can of aerosol Barbasol shaving cream that was accessible to children on the counter in the toddler room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection on 7/9/25, a yellow plastic-molded seat for the table used in the infant room was cracked and posed a pinch point.

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

Regulation: 3270.113(a)(1)/3270.113(a)(2)

Description: Staff assigned to specific children/Supervision on and facility premises

Noncompliance Area: At the time of the inspection on 7/9/25, the certification representative asked staff person #5 who was in their care. Staff person #5 then named 12 preschool aged children that were assigned to them. Staff person #5 acknowledged that they should have only been assigned ten children, based upon the age and staff:child ratios.

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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. Tiered LIS: 1.) Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update written supervision policy and ratio procedures to be implemented in the facility. The written policy/procedures must address the requirements for 3270.113(a)(1) and 3270.113(a)(2) as follows: 1. Procedures for assigning children to individual staff in the classroom. 2. Procedures to include that the maximum number of children assigned to an individual staff person will not exceed the appropriate staff:child ratios based on the youngest child in the assigned group. 3. Procedures to be followed when the ratio for a supervision group is about to be exceeded, such as designating children to other staff in the room or bringing in other staff members so all children can be assigned appropriately within the staff:child ratios. The legal entity will submit the updated policy/procedures to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and it must be documented at the facility. This date of correction will be when acceptable updated policies and procedures are submitted.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection on 7/9/25, staff person #4 did not wash their hands or the hands after child #1 was diapered. The child was placed directly into a pack and play after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection on 7/9/25, staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training and health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.21/3270.104(a)

Description: General Health and Safety/Clean, good repair, proper size

Noncompliance Area: At the time of the inspection on 7/9/25, an infant was observed in a Fisher Price Infant to Toddler Rocker, which was placed on top of a table, in the infant room. The manufacturer warnings for this piece of equipment state: "Fall Hazard: Always place rocker on floor. Never use on any elevated surface."

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection on 7/9/25, the facility's current certificate of compliance was not posted. The certificate of compliance that was posted had an expiration date of 3/12/25.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training requirements.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff persons #1, #2 and #3 did not have a signed disclosure statement on file. Staff person #3 was not hired correctly as a provisional hire and did not have a completed NSOR on file. Staff person #3 has had direct contact and routine interaction with children (see LIS code sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #3 will not work in a child care position with direct contact and routine interaction with children until the NSOR certificate is on file at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection on 7/9/25, staff person #1, an aide, was observed working unsupervised in the school-age room with 4 school-aged children.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection on 7/9/25, at 9:40am, staff person #4 was the only staff person in the room with 5 children (3 infants, 1 young toddler and one older toddler). The ages and number of children requires there to be two staff present at all times.

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). Tiered LIS: 1.) The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2.) The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training regarding Ratios and Supervision of Children. This training must be completed as a live training or in-person training. All staff employed by the date of the training shall take the training. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when the training will be completed.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: At the time of the inspection on 7/9/25, the trash can in the preschool room did not contain a lid and used tissues were observed in the can.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection on 7/9/25, in the play space's poured in place surfacing, the surfacing was cracked and flaking away causing divots where it posed a tripping hazard to both staff and children.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: At the time of the inspection on 12/18/24, the white highchair in the older toddler room was missing the T-shaped safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: At the time of the inspection on 12/18/24, a written plan of daily activities and routines, including a time for free play was not posted in the school age room.

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 shall be posted in the group space.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection on 12/18/24, staff persons #9 and #12 had 6 children (2 infants and 4 young toddlers) in their care. When they were asked who they were responsible for, they admitted to not assigning children specifically to their own groups.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection on 12/18/24, staff persons #9 and #12 had 6 children (2 infants and 4 young toddlers) in their care. When they were asked who they were responsible for, they admitted to not assigning children specifically to their own groups.

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.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: At the time of the inspection, the certification representative observed staff person #3 raising her voice to a child, putting her hands on his shoulders and told him to get to the back of the line. She then went to the back of the line and raised her voice again to the child and told him to sit down.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The updated policies must include expectations for appropriation interactions between staff and children, including appropriate redirection of children. Policies should also include procedures for staff to follow if they feel they are becoming stressed in the classroom. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures, and it must be documented in their files.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: At the time of the inspection, the certification representative observed staff person #3 raising her voice to a child, putting her hands on his shoulders and told him to get to the back of the line. She then went to the back of the line and raised her voice again to the child and told him to sit down.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: At the time of the inspection on 12/18/24, the operator did not have supervision policies documented in the parent handbook which is provided to parents at enrollment.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection on 12/18/24, the last documented child service report on file for child #3 was conducted on 5/14/24 and not every 6 months as required.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in any child care space.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: At the time of the inspection on 12/18/24, the emergency contact form for child #4 was updated on 9/4/24 with a previous review/update date of 2/19/24. This reflects a period of longer than the 6-month required parent review/update.

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: 3270.131(a)

Description: Health information

Noncompliance Area: At the time of the inspection on 12/18/24, the initial health report for child #1 was dated 11/13/24 which was after the required timeframe of 60 days following the first day of attendance to submit a health report (see LIS code sheet for date of admission).

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: At the time of the inspection, the health assessment on file for child #2 was dated 10/18/24. The previous health assessment was dated 8/3/23. This was not updated every 6 months as required for a young toddler (see LIS code sheet for date of birth).

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.

Regulation: 3270.133(3)/3270.133(6)

Description: Name on bottle/Written consent

Noncompliance Area: At the time of the inspection, there was no label for the Epi-Pen that was present at the facility for child #6. There was no medication log with parental written consent for the Tylenol for child #7.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At the time of the inspection, the hands of the children in the infant room were not washed prior to sitting in their seats to eat lunch.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.134(b)/3270.134(c)

Description: Towels labeled and laundered/Paper towels discarded

Noncompliance Area: At the time of the inspection, paper towels or any source for the child to dry their hands after washing them was missing from the school age and older toddler rooms.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent. Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At the time of the inspection on 12/18/24, in both of the infant and older toddler classrooms, the lid to the trash can used for diapering was not connected to the can and was resting on top of it. When the foot pedal was engaged to lift the lid, the lid did not move; therefore, this is not hands-free and cannot be used for diapering.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, the health assessment on file for staff #1, dated 10/17/24, appeared to have been photocopied after the date was altered on the original copy. The original copy of the document was observed in the file and contained a date of 9/7/23 which was altered, and a date of 10/17/24 was written in.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: At the time of the inspection, the health assessment for staff person #13 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of the inspection, a bottle was observed with an infant in the child's pack and play. The bottle was not labeled.

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

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: At the time of the inspection, pick up and drop off procedures were not posted in the facility.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection on 12/18/24, the operator acknowledged that the parents of enrolled children are not provided Chapter 3270 regulations electronically.

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

Regulation: 3270.27(a)(1)/3270.27(d)

Description: Emergency plan/Plan posted

Noncompliance Area: At the time of the inspection on 12/18/24, the emergency plan did not include lockdown procedures. The emergency plan was also not posted.

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 operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: At the time of the inspection on 12/18/24, the emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(b)/3270.27(c)

Description: Plan reviewed/updated annually/Training regarding plan

Noncompliance Area: At the time of the inspection on 12/18/24, the emergency plan on file was last documented as being reviewed on 2/10/23 and not annually as required. Staff person #3 was not trained in the emergency plan annually as required. This is evidenced by the current training date of 11/26/24 and the previous training date of 3/7/23. Staff person #10 and staff person #12 did not have any evidence of updated emergency plan training being conducted annually. The only emergency plan training in the file was from 11/2/23. Staff person #11 did not have any emergency plan training in their file. Staff person #11 has been employed at the facility for more than 12 months. Staff person #5 was not trained in the emergency plan within 90 days of hire. She was not trained in the plan until 10/21/24 (see LIS code sheet for date of hire).

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. 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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #1, #3 did not complete fire safety training annually as required. This is evidenced by the current fire safety training date of 9/26/24 and the previous training date of 6/29/23. Staff persons #10 and #11 did not complete fire safety training until 9/26/24. This was not within the 12 months of when the staff person was hired (see LIS code sheet for date of hire).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection on 12/18/24, staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #5 will have until 1/10/25 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: At the time of the inspection, staff person #6 and staff person #10 did not have 2,500 hours of previous childcare experience to accompany the diploma on file and could not qualify as an assistant group supervisor. Staff person #11 did not have a transcript to accompany the Bachelor of Art in Literature degree and could not qualify for the position they were performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection, staff persons # 10, #11 and #12 did not receive a written evaluation until 11/26/24, which was past the 12-month requirement. Staff persons #10, #11 and #12 have been employed at the facility for more than 12 months (see LIS code sheet for date of hire).

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

Regulation: 3270.66(a)/3270.133(4)

Description: Locked or inaccessible/Locked

Noncompliance Area: At the time of the inspection on 12/18/24, in the Preschool room, Dawn dish soap and Soft-soap was observed under the sink. The labels read "Keep out of reach of children" and these were accessible to children. In the Older Toddler room, Tylenol was observed in a child's bag in a child's cubby and was accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection on 12/18/24, a ceiling tile located in the corner of the PS room had water damage. The operator acknowledged a water leak in the ceiling. In the outdoor play area, on the deck portion of the play space, two nails were observed laying on the ground. In the play space's poured in place surfacing, the surface was cracked and caused large divots where it posed a tripping hazard to both staff and children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of the inspection, hand washing signs were missing from the sinks in the infant classroom.

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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: At the time of the inspection, an emergency exit door in the older toddler room was observed to be obstructed by a shelf placed in front of it.

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

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: At the time of the inspection on 12/18/24, two portable space heaters were observed in the office.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During renewal inspection in the OT room, there were numerous plastic bags stored in a drawer that was accessible to children. Plastic trash bags were stored in a cabinet that was accessible to children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of STAFF #1 (see code sheet) contained all required PA clearances. STAFF #1 has lived out of state within the past 60 months and does not have clearances from that state. There are no copies of requests for the out of state clearances in the file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). STAFF # 1 may not work in a childcare position at the facility until out of state clearances are received. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During renewal inspection on 12/14/22 cert rep reviewed several children's files. CHILD #1 (see code sheet for start date) did not have a health assessment in file. It is more than 60 days since child's start date.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During renewal inspection on 12/14/22 cert rep reviewed several children's files. CHILD #2 (see code sheet for DOB) did not have the influenza immunization or an exemption letter in file.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During renewal inspection on 12/14/22 cert rep observed a bottle of Acetominophen in the PS (3 yr. old) room with an expiration date of 11/2022.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on 12/14/22 cert rep observed a can of disinfectant spray and a can of spider killer in the bathroom vanity cabinet in the OLDER TODDLER room. The cabinet had a child proof lock on it, but the lock was open and the toxics 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.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During electronic review of facility emergency plan on 12/15/21 cert rep observed that there was no plan for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: During renewal inspection on 12/14/21 cert rep asked to see the facility emergency plan. There was no copy of the emergency plan available at the facility.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 12/14/21 cert rep reviewed several staff files. STAFF # 1 (start date 12/13/21) had a confirmation that NSOR application was sent, but the NSOR verification was not yet received. Provider does not have a provisional hire waiver.

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