Jackies Children Of The Future Day Care

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child# 4,7 and 10 were in care. Child # 1 , 4 and 10 files contained a fee agreement that did not address the release person for the child.

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

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child # 1 and 3 files contained a fee agreement where the section for extra services was not addressed.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child# 4,7 and 10 were in care. Child # 6 did not have a fee agreement in the file. Child # 7 did not have a fee agreement in the file. Child # 11 did not have a fee agreement in the file.

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

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child # 11 did not have an emergency contact form in the facility. Child # 11 was not present while Certification Representative was onsite.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection the facility had 11 children listed as enrolled. Child# 4,7 and 10 were in care. Child # 1,2,3,4,5 and 10 file contained an emergency contact form that did not list the enrolling parents work telephone number and work address. Child # 4 and 5 files contained emergency contact form that did not list the complete address of the enrolling parent.

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

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child #1,2,3,4,7 and 8 files contained emergency contact forms that did not have signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: During a renewal inspection conducted on 7/9/26, 11 children were enrolled in the facility. Child# 4,7 and 10 were in care. Child # 4 and 5 files contained emergency contact forms where the section regarding the child's special disability was not addresses.

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 of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child# 4,7 and 10 were in care. Child # 1file contained an emergency contact form that did not include the child's 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child# 4,7 and 10 were in care. Child # 1, 2, 3 and 4 files contained emergency contact forms that did list the address of the person designated by the parent as 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.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child # 1 emergency contact form and fee agreement were signed on 10/14/2025. Child # 2 emergency contact form and fee agreement were signed on 10/14/2025. Child # 3 emergency contact form and fee agreement were signed on 10/14/2025. Child # 4 emergency contact form and fee agreement were signed on 1/30/26. Child # 5 emergency contact form and fee agreement were signed on 1/30/26. Child # 8 emergency contact form and fee agreement were signed on 7/23/2024. Child # 9 emergency contact form and fee agreement were signed on 7/23/2024. Child # 10 emergency contact form and fee agreement were signed on 7/17/2025.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 10 child files were reviewed, Child # 11 had no file in the facility. Child # 2,3,4 and 5 had no health assessment on file.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 10 child files were reviewed. Child # 11 had no file. Child # 6 file has a health assessment dated 3/6/2024. Child # 10 file has a health assessment dated 8/13/2024.

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

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child # 1,2,3,4,5,7 and 8 files contained emergency contact forms that did not have signed parental consent for the administration of minor first aid.

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

Regulation: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, 11 children were enrolled in the facility. Child # 4 emergency contact form section concerning transportation and wading were not addressed. Child # 5 emergency contact form section concerning transportation, swimming, walking excursions and wading were not addressed.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, staff person # 1 file contained a FBI clearance that was issued on 7/8/2021. Staff person # 1 will not be allowed to work in the facility until a valid FBI clearance is submitted. Facility Person # 1 may not work in a child care position at the facility.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, there were 2 outlets that did not have protective receptable covers in place.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, the last documented fire drill was march 2026.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During a renewal inspection conducted on 7/9/2026, the smoke detector was not working in the basement where the childcare space is located. The smoke detectors were working on the first and second floor of the home.

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

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, 2 child files were reviewed. Child # 1 file contained a fee agreement where the section for extra services provided was not addressed.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, 2 child files were reviewed. Child # 1 file contained an emergency contact form that did not list the enrolling parent's work address and telephone number.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, 2 staff files were reviewed. Child # 1 and 2 files contained emergency contact forms that did not list the child's 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, 2 child files were reviewed. Child # 1 and 2 files contained emergency contact forms that did not list the address of the person designated as 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.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, 2 child files were reviewed. Child # 1 and 2 files contained emergency contact forms and fee agreements that were not updated every 6 months. Child # 1 forms were dated 7/25/2024. Child # 2 forms were dated 7/27/2023.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, 1 staff file was reviewed. Staff person #1 file contained a health assessment dated 4/24/2023.

Correction Required: 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. 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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, the provider did not have documentation of liability insurance for the facility.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, 1 staff file was reviewed. Staff person # 1 file did not contain 12 hours of annual childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During a renewal inspection conducted on 7/15/2025, the provider does not have documentation that a fire drill was conducted every 60 days.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During a renewal inspection conducted on 7/9/2024, 2 child files were reviewed. Child # 1 file contained an emergency contact form that did not list the telephone number of the child's physician.

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

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: During a renewal inspection conducted on 7/9/2024, 2 child files were reviewed. Child # 1 and 2 files contained emergency contact and fee agreement forms that were not updated in a 6 month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During a renewal inspection conducted on 7/9/2024, 1 staff file was reviewed. Staff member # 1 file did not contain 12 hours of childcare training.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, 2 child files were reviewed. Child # 1 file contained a fee agreement that did not list the persons designated by a parent to whom the child may be released.

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

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, 2 child files were reviewed. Child # 1 file contained a fee agreement that did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, 2 child files were reviewed. Child # 2 file contained an emergency contact form and a fee agreement that were signed and dated on 4/5/2023. The forms are required to be updated every 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, 2 child files were reviewed. Child # 2 file contained a health assessment dated 5/4/2022. This health assessment is over 12 months old.

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

Regulation: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, 1 staff file was reviewed. Staff member # 1 file did not contain TB test results.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, 1 staff file was reviewed. Staff member # 1 file did not contain verification of the required 1 hour health and safety update training.

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

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, Certification Representative observed in the outdoor play space the following items: auto parts, ripped sand bags, broken rake and shovel, empty food bottles, pealing paint on a storm drain, building debris and empty water bottles.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During a renewal inspection conducted on 8/8/2023, Certification Representative observed that the posted fire/emergency evacuation route was blocked and not accessible. A new evacuation route was requested.

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

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During the renewal inspection certification rep was exiting the vehicle and observed staff #1 outside putting trash in the curbside trash can without the children. When certification rep went inside the child care center there were 2 children who were left unsupervised inside.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3290.151(c)(1)/3290.192(2)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection there was no health assessment on file for staff #1.

Correction Required: An adult health assessment must include a physical examination. 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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection the emergency plan did not include accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During the renewal inspection it was observed that the emergency plan was not sent to the local municipality and the county emergency management agency.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During the renewal inspection staff #1 did not have 12 clock hours of child care training on file.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection staff #1 did not have the NSOR certificate 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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During the renewal inspection the fee agreement for child 1 and 4 did not have the amount of the fee to be charged per day or week and the date for it to be paid on file.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection the fee agreement for child #1 and 5 did not specify the persons designated by the parent to whom the child may be released to on file.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal the emergency contact for child #1 did not include the address of the child's physician on file.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection the emergency contact for child #1 and 4 did not include the work address and phone number of the parents on file.

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

Regulation: 3290.124(b)(5)/3290.124(b)(7)

Description: Information re: disability/Name/address/phone release person

Noncompliance Area: During the renewal inspection child #1 emergency contact did not include the information on the disability and the release persons information on file.

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 of CRNP, which is needed in an emergency situation. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.131(a)(3)/3290.131(a)(4)

Description: Initial health report dated older toddler/preschool < 1 year./Initial health report for school age

Noncompliance Area: During the renewal inspection child #1-3 did not have a complete current health assessment on file.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. 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).

Regulation: 3290.14(a)

Description: Building codes

Noncompliance Area: During the renewal inspection the certificate of occupancy was not posted in the child care center.

Correction Required: A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: During the renewal inspection child #2 and 3 did not have a individual record on file.

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

Regulation: 3290.182(3)/3290.182(5)

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

Noncompliance Area: During the renewal inspection child #4 emergency contact did not include the signed parental consent for emergency medical care on file.

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

Regulation: 3290.94(a)(1)/3290.95(a)

Description: Every 60 days/System in compliance

Noncompliance Area: During the renewal inspection a fire drill was not conducted at least once every 60 days according to the fire drill log posted. The last dated posted for a fire drill was 10/21/21.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))

Noncompliance Area: During the renewal inspection the certification representative observed a child go upstairs alone without supervision. Staff #1 was making lunch in the kitchen while children were in the dining room area unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During the renewal inspection child #3 emergency contact did not include the physician address. Child #1 and 2 emergency contact did not include the parents work address and phone number.

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

Noncompliance Area: During the renewal inspection child #3 file did not include an updated health assessment.

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

Noncompliance Area: During the renewal inspection staff #1 did not have an updated health assessment on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.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: During the renewal inspection the certification representative observed 2 children had only a waffle for lunch. The children were not offered a dairy or protein for lunch.

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

Noncompliance Area: During the renewal inspection the certification representative observed that 2 children were not offered a fruit or vegetable for lunch which was prepared by the facility.

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

Noncompliance Area: During the renewal inspection there was no written statement giving the formula and feeding schedule for an infant on file.

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

Noncompliance Area: During the renewal inspection certification representative observed a bottled not labeled with the child's name.

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

Noncompliance Area: During the renewal inspection there was no record for 3 children being cared for at the facility.

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

Noncompliance Area: During the renewal inspection child #3 emergency contact did not include written parental consent for emergency medical care and for administration of minor first-aid procedures on file, .

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

Noncompliance Area: During the renewal inspection staff #1 file did not include the name, address and telephone number of the facility person.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Noncompliance Area: During the renewal inspection staff #1 did not have first-aid training on file.

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

Noncompliance Area: During the renewal inspection staff #1file did not include the biennial minimum of 12 clock hours of training required.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: During the renewal inspection certification representative observed a roach crawling up the wall in the dining room area upstairs while children were having lunch.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: During the renewal inspection certification representative observed the walls, doors, curtains and radiator covers in the kitchen and dining were not clean. The window in the kitchen was shattered and held together with electrical tape.

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

Noncompliance Area: During the allocated inspection the staff person came downstairs to open the door for the certification rep. When the certification rep was leaving the facility and the staff person closed the door to the facility with the children inside alone.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: During the allocated inspection the current certificate of compliance was not posted in the facility.

Correction Required: The facility's current certificate of registration 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: During the renewal inspection child #2 did not have an agreement or an emergency contact on file. Child #1 and 3 did not have an agreement on file.

Correction Required: An agreement shall be signed by the operator and the parent.Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: During the renewal inspection child #3 emergency contact did not have the enrolling parents work address and phone number on file. The emergency contact did not have the written

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: During the renewal inspection child #1-3 emergency contact and financial agreement was not updated at least once in a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During the renewal inspection child #2 did not have a current health assessment on file.

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

Noncompliance Area: During the renewal inspection child #3 emergency contact did not have written parental consent for emergency medical care and minor first aid on file.

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

Noncompliance Area: During the renewal inspection staff #1 did not have annual six hours of training and health and safety training on file.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: During the renewal inspection staff #1 did not have first-aid and CPR training on file.

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

Noncompliance Area: AT TIME OF INSPECTION ON 9-26-17, CHILD SERVICE REPORTS WERE NOT BEING COMPLETED FOR THE ENROLLED CHILDREN.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e).

Noncompliance Area: AT TIME OF INSPECTION ON 9-26-17, THE AGREEMENT FOR CHILD #1 DID NOT SPECIFY THE PERSONS 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: AT TIME OF INSPECTION ON 9-26-17, THE EMERGENCY CONTACT FORM FOR CHILD #1 DID NOT INCLUDE THE ADDRESS FOR 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: AT TIME OF INSPECTION ON 9-26-17, THE EMERGENCY CONTACT FORM FOR CHILD #1 DID NOT INCLUDE 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: AT TIME OF INSPECTION ON 9-26-17, THERE WAS NOT A PLAN POSTED THAT IDENTIFIES THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE AND THE STAFFING PROVISIONS THAT WILL TAKE PLACE IN THIS TYPE OF EMERGENCY.

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

Noncompliance Area: AT TIME OF INSPECTION ON 9-26-17, THE FILE FOR CHILD #2 DID NOT INCLUDE AN UP TO DATE HEALTH ASSESSMENT AND IMMUNIZATION RECORD. LAST DATE IN FILE FOR HEALTH ASSESSMENT IS 4-14-16.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A health report shall include a review of the child`s immunized status according to recommendations of the ACIP.

Noncompliance Area: AT TIME OF INSPECTION ON 9-26-17, THE AGREEMENT FOR CHILD #1, #2, AND #3 HAD NOT BEEN REVIEWED/UPDATED WITHIN A SIX MONTH PERIOD.

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: AT TIME OF INSPECTION ON 9-26-17 THE FILE FOR CHILD #1 AND #2 DID NOT INCLUDE SIGNED CONSENT FOR EMERGENCY MEDICAL CARE, OR FOR THE ADMINISTRATION OF MINOR FIRST AID PROCDEURES BY FACILITY STAFF.

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

Noncompliance Area: AT TIME OF INSPECTION ON 9-26-17, THE TELEPHONE NUMBER FOR FIRE AND AMBULANCE WAS NOT INCLUDED ON THE LIST OF EMERGENCY PHONE NUMBERS.

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: AT TIME OF INSPECTION ON 9-26-17, THERE WAS NOT VERIFICATION THAT FIRE DRILLS WERE BEING CONDUCTED AT LEAST FOUR TIMES A YEAR.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.