Jeidy Little Angels

Regulation: 3280.121(a)

Description: Review policies and procedures

Noncompliance Area: The facility's general daily schedule was not included in the parent handbook. (Corrected on site)

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: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: During the time of inspection, it was observed that the child's hands were not washed after diapering. (Corrected on site)

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: 3280.152

Description: Adult Hygiene

Noncompliance Area: During the time of inspection, it was observed that facility person #1 did not wash their hands after diapering a child. (Corrected on site)

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3280.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff person #1 and #2 have documentation of diplomas from the Dominican Republic that have not been translated or evaluated for equivalency.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3280.166(4)

Description: Bottles labeled

Noncompliance Area: The bottle for Child #1 was not labeled with the child's name.

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

Regulation: 3280.75(c)/3280.178

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: The first aid kit located in the van used to transport children, did not contain soap or scissors.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: There were no evacuation routes posted on the 2nd floor or in the attic.

Correction Required: The primary staff person 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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: There was no written plan regarding continuity of care (contingency plan) in the Emergency Plan or in the letter to the families regarding the emergency plan procedures.

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.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: There was no documentation that the operator had notified local traffic safety authorities in writing, of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.191/3280.192(2)(i)

Description: Individual Records/Age

Noncompliance Area: Faculty Person #2 was observed volunteering with the children, but did not have a Volunteer Individual Record at the facility that included verification of age.

Correction Required: An individual record is required for each facility person. A facility person's record shall include verification of age.

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: Faculty Person #2 was observed volunteering with the children, but did not have a Volunteer Individual Record at the facility that included a completed health assessment and TB test results.

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.

Regulation: 3280.192(4)

Description: CPSL information

Noncompliance Area: Faculty Person #2 was observed volunteering with the children, but did not have a Volunteer Individual Record at the facility that included copies of results of the child abuse, FBI, or NSOR certificate or a signed, dated and witnessed disclosure statement as required under the CPSL.

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 #-2 may not work or volunteer at the facility until all requirements are met.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: Faculty Person #2 was observed volunteering with the children, but did not have a Volunteer Individual Record at the facility that included 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.

Regulation: 3280.192(6)

Description: Content of Records

Noncompliance Area: Faculty Person #2 was observed volunteering with the children, but did not have a Volunteer Individual Record at the facility that included completed mandated reporter and emergency plan training.

Correction Required: A record shall include a copy of records of training required by the Department.

Regulation: 3280.31(f)(10)

Description: Age and training

Noncompliance Area: Staff Person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Pediatric First Aid and CPR in an approved curriculum, by an approved trainer.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff Person #1 will have until 5/11/23 (15 days from POC requested date) to complete the required training. Until such time as the requited training has been completed, staff person #1 must be supervised, when interacting with children, by a Primary Staff Person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: The children were grouped together in mixed age levels and there were 2 staff persons (and 1 volunteer unable to be counted in staff : child ratios) with a total of 11 children consisting of 2 infants, 1 young toddler, 2 older toddlers and 6 preschool aged children. The youngest age staff : child ratio of 1:4 was not met as required.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times.

Regulation: 3280.95(b)

Description: Staff responsibility

Noncompliance Area: The Fire Drill Log at the facility showed documentation of fire drills conducted at least every 60 days, however there was no documentation of testing the system every 30 days.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #1 did not include documentation of HEP A vaccines having been administered in accordance with the schedule recommended by the ACIP. An approved written statement of exemption is in the file for the flu vaccine, but not for the HEP A vaccine.

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

Regulation: 3280.166(1)

Description: Written statement

Noncompliance Area: There were no individual feeding schedules obtained by the parent for the 2 infants that are attending at the facility.

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

Noncompliance Area: Upon review of the children's files, it was found that the physician phone number was missing from the Emergency contact information for Child #2.

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: Upon review of the children's files, it was found that the enrolling parental home and work addresses, as well as the work telephone number were missing for Child #3.

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

Noncompliance Area: Upon review of the children's file information, it was found that health insurance policy number was missing from the Emergency contact information for Child #1 and Child #3.

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: Upon inspection of children's files, it was found that the last review of the Emergency contact information AND the Financial Agreement for Child #1 was 2/28/19 and for Child #2 was 10/1/19.

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.

Noncompliance Area: Rest mats for children were torn and exposing foam.

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: During the inspection, one child mouthed a toy corn. The object was dropped and another child picked up, placing in his mouth. A third child then had the toy corn and also mouthed. The mouthed toy was not removed from play and properly cleaned before being returned to play.

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: Small pebbles and debris less than 1 inch accessible on outdoor playspace used by infants/toddlers.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

Noncompliance Area: Child 4 is a school ager that attends 15 or more hours of care per week. Child 5 did not have a child service report completed in a 6 mth period. CHILD 4 WAS NOT IN CARE FOR 6 MTHS--CITED IN ERROR 6/5/19.

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 3280.124(f).

Noncompliance Area: Child 2 did not have a complete immunization summary 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.A child's record must contain initial and subsequent health reports.

Noncompliance Area: A sleeping preschooler was observed with a bottle and pacifier which was given while laying down for rest.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Noncompliance Area: No documentation of notifying Lebanon City Police of location of facility and safe pedestrian/vehicular routes at the 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: No safe routes of drop off and pick up points posted.

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.

Noncompliance Area: On the day of the inspection, 1 PS child was taken in the van to transport school age children to school. Only 1 staff present in the vehicle. AS OF 6/7/19 TRANSPORTATION WILL NO LONGER BE PROVIDED.

Correction Required: The staff-child ratios specified in 3280.52 apply when infant, young or older toddler and preschool children are transported. The maximum group size requirements at 3280.52 do not apply during transportation.The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

Noncompliance Area: On the day of inspection, the transportation van was not available for inspection of insurance and safety restraints. Provider states a friend borrowed the van after transporting children to school.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. 4581 (relating to restraint systems). A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: No first aid kit with emergency information located in the transportation van. NO SOAP OR SCISSORS IN THE TRANSPORTATION FIRST AID KIT.

Correction Required: A first-aid kit, including the contents as specified in 3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: Child 3 emergency contact form and agreement were not complete with 6 mth update---no information on physician, insurance, designated release person on agreement, amount to pay per day/week; day to pay.

Correction Required: Information in a child's record shall be kept current by the operator.

Noncompliance Area: Staff 1 was missing references in file. References were on file at last inspection.

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: Staff 6 and 7 did not have documentation of initial emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment (within 7 days), 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Staff did not have documentation of requests for child abuse and FBI clearances. The criminal history clearance was requested but no complete certificate on file. No signed disclosure on file.

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

Noncompliance Area: During the inspection, staff 1 went into the kitchen which is a separate room, to get snacks for the children. Staff 2 was then alone in the childcare room with 7 children YT-PS.

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 at 3280.52(b). The required staff:child ratios must be maintained at all times.

Noncompliance Area: The bleach solution used for sanitizing the diapering table is incorrect. Facility is using a disinfecting solution mixture. BLEACH SOLUTION IS NOT MADE FRESH DAILY.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Facility operates 5:30am-9:30pm but daily schedule only posts activities/routines until 3:30pm.

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.

Noncompliance Area: During the inspection, staff 1 and 2 moved throughout the facility, compromising supervision. All children were not able to be seen due to no proper lighting; a child was asleep in the inf/tod area with no direct supervision; and a special needs school aged child was left alone in the lunch room 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. 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.

Noncompliance Area: During the inspection, an infant was placed on her stomach to sleep.

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

Noncompliance Area: Child 5 did not have an initial school aged physical on file. Child enrolled 8/18.

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: Child 4 did not have a 1 yr old physical on file. Last physical dated 6/2018.

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: Prior to preparing and serving a bottle, Staff 1 did not wash her hands or the child's.

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.

Noncompliance Area: The enrolled infant did not have a written infant statement of formula and feeding schedule provided by the parent.

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

Noncompliance Area: Infant bottles were not labeled for individual use.

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

Noncompliance Area: The outstanding renewal inspection summary dated 10/31/18 was not posted.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: Staff 1 did not have initial emergency plan training. Date of employment Sept 2018.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Staff received CPR training but have no documentation of completing 1st aid training.

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: Staff 2 did not have 6 hours annual childcare training on file.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Staff 1 did not have HS diploma or GED with 2 yrs documented experience to be primary staff.

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.A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children

Noncompliance Area: Staff 1 was alone with the children and is not qualified as a primary staff.

Correction Required: A primary staff person shall supervise the performance of a secondary staff person

Noncompliance Area: On 10/31/18 during the inspection at ~330pm, a school aged child arrived taking the facility over capacity to 13 (thirteen) children in care.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

Noncompliance Area: During the inspection on 12/7/18, Staff 1 left the childcare room to prepare a bottle in the kitchen area, leaving the 2 other staff with 11 children, INF-PS.

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 at 3280.52(b). The required staff:child ratios must be maintained at all times.

Noncompliance Area: On 12/7/18, 10 children YT-PS were observed in the kitchen area which measures for 2 (two). No notation on the daily schedule. The number of children exceeded twice the measured capacity.

Correction Required: When the capacity of a space is exceeded while children are eating, the meal time shall be designated on the facility's schedule of daily activities.When the capacity of a space is exceeded while children are eating, the number of children present in the space may not be more than twice the measured capacity of the space.

Noncompliance Area: PACK AND PLAYS AND MATS FOR REST TIME WERE NOT INDIVIDUALLY LABELED.

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

Noncompliance Area: CHILD 2, 3, 4 DID NOT HAVE A CHILD SERVICE REPORT COMPLETED WITHIN 6 MONTHS OF ENROLLMENT.

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 3280.124(f).

Noncompliance Area: CHILD 2 AND 3 DID NOT HAVE AN AGREEMENT ON FILE. CHILD 4 DID NOT HAVE SERVICES PROVIDED/RELEASE PERSON/SIGNED UPDATE ON AGREEMENT. CHILD 5 DID NOT HAVE SERVICES PROVIDED NOR RELEASE PERSON COMPLETED ON AGREEMENT.

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 shall reference who shall be contacted in an emergency.

Noncompliance Area: CHILD 2 DID NOT HAVE A CURRENT PHYSICAL WITH IMMUNIZATIONS ON FILE. ENROLLED MAY 2017.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Noncompliance Area: CHILD 1 AND 3 DID NOT HAVE CURRENT PHYSICAL WITH IMMUNIZATIONS ON FILE. CHILD 1 PHYSICAL OUTDATED 12/21/16 AND CHILD 3 NONE ON FILE ENROLLED MAY 2017.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: MEDICATION FOUND IN CHILD'S BACKPACK THAT WAS ACCESSIBLE TO THE CHILDREN.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: CHILD NOR STAFF WASHED HANDS AFTER DIAPER CHANGE.

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.

Noncompliance Area: CHILD 4 AND 5 DID NOT HAVE CURRENT COMPLETE INFORMATION ON EMERGENCY CONTACT FORM.

Correction Required: Information in a child's record shall be kept current by the operator.

Noncompliance Area: CHILD 2, 3, 4, 5 DID NOT HAVE PARENTAL SIGNATURE/PERMISSION FOR EMERGENCY MEDICAL ATTENTION AND MINOR 1ST AID.

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

Noncompliance Area: UPON ARRIVAL AT 10AM STAFF 7 OBSERVED ALONE WITH 7 (SEVEN) CHILDREN, AGES YOUNG TODDLER TO PRESCHOOL.

Correction Required: A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in 3280.52(b) or (c) requires a second or third staff person.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 at 3280.52(b). The required staff:child ratios must be maintained at all times.

Noncompliance Area: RATIO WAS COMPROMISED WHEN STAFF 6 WENT UP THE STAIRS AND INTO THE KITCHEN, LEAVING STAFF 7 WITH ALL 7 CHILDREN. RATIOS AND SUPERVISION TECHNICAL ASSISTANCE AND COMPLIANCE WITH REGS REVIEWED ON SITE.

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 at 3280.52(b). The required staff:child ratios must be maintained at all times.

Noncompliance Area: SOME OUTLETS THAT ARE NOT CHILDPROOF DID NOT HAVE OUTLET COVERS.

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

Noncompliance Area: VARIOUS TOXICS INCLUDING CLEANING MATERIALS, INDUSTRIAL SIZED HAND SOAP LABELED KEEP OUT OF THE REACH OF CHILDREN WERE ACCESSIBLE TO CHILDREN ON THE FLOOR OF THE BATHROOM, VANITY TOP, AND CABINETS.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: DIAPERING TABLE WAS NOT SANITIZED AFTER USE. PRODUCT USED TO CLEAN IS NOT A SANITIZER.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: UPON ARRIVAL 11/6/17 10AM, PROVIDER WAS IN THE REAR CHILDCARE ROOM WITH 2 CHILDREN WHILE 3 CHIILDREN WERE UNSUPERVISED IN THE FRONT CHILDCARE ROOM WITH NO STAFF SUPERVISION.

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

Noncompliance Area: STAFF 2 DID NOT HAVE 2 WRITTEN NONFAMILY REFERENCES ON FILE.

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: HHM 1 DOES NOT HAVE CLEARANCES ON FILE/NO REQUESTS FOR CLEARANCES WHEN HHM TURNED 18 YR IN SEPTEMEBER 2017.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All household members turning 18 years of age during the year shall submit clearances with the renewal application or at inspection.

Noncompliance Area: STAFF HAVE GED/HS CERTIFICATION THAT NEEDS APPROVAL FROM DRA FOR AUTHENTICITY/APPROVAL.

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.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: STAFF 2 DID NOT HAVE A COPY OF HIGH SCHOOL DIPLOMA ON FILE.

Correction Required: A secondary staff person shall have obtained a high school diploma or a general educational development certificateA facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: NO PARENT POLICY HANDBOOK TO GIVE TO ENROLLING PARENTS.

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.

Noncompliance Area: NO EMERGENCY PLAN OF TRANSPORTING A CHILD TO HOSPTAL OR STAFFING PROVISIONS POSTED.

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: NO INFANT STATEMENT/DAILY SCHEDULE PROVIDED BY PARENT.

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