Just Like Home Child Day Care Center Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A box of Magna Tiles had approximately 20 cracked and chipped tiles exposing sharp edges which poses a cutting hazard.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file(s) for Child(ren) #1 (PS) reflects that the most recent Updated Health Assessment was completed more than 12 months after the Initial Health Assessment. Specifically, the initial health assessment for Child(ren) #1 was dated: 02.21.2025 and the updated health assessment was dated: 03.12.2026. (SEE LIS CODE SHEET)

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 shall contain initial and subsequent health reports.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments for Staff #4 (Dated: 02.05.2024 and 03.25.2026) were dated more than 24 months apart. (SEE LIS CODE SHEET)

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file(s) for Staff Person(s) #1 contained a Child Abuse Clearance 03.04.2019 and 05.17.2024) and an NSOR Certificate (01.14.2020 and 01.28.2025) that were dated more than 60 months apart. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #2 contained a Child Abuse Clearance (06.01.2026) and an NSOR Certificate (06.18.2026) dated after their hire date, resulting in an incorrect provisional hire. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #3 contained an NSOR Certificate (09.26.2025) dated after their hire date, resulting in an incorrect provisional hire. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room #5B, an orange plastic crate containing toy cars, located on a bookshelf next to the sink, was cracked and chipped, creating exposed sharp edges that posed a potential cutting hazard.

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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In Room #3, a multi-colored foam circle with Velcro, located next to the glass door, had rips at the seams with exposed foam and fraying strings. These items were accessible to children who are still placing objects in their mouths, posing a choking and ingestion hazard.

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. 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)

Description: Comply with CPSL

Noncompliance Area: Staff #1-- has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1--- will have until 02.04.2026 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1-- 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 person(s) available to supervise staff person #1 --, staff person #1-- may not work in a child-care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Room #4 lacked an assortment of adhesive bandages.

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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment for Child File #2 had an initial health assessment dated 06.2025 which is more than 60 days from the first day of attendance at the facility. (SEE LIS CODE SHEET)

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

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The Updated Child Health Assessment for Child #1 (PS) dated: 03.2025 was more than 12 months apart. (SEE LIS CODE SHEET)

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 shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The files for Child #2 enrolled for at least 60 days, lacked written verification of immunizations. (SEE LIS CODE SHEET)

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file(s) for Staff Person(s) #1 and #2 had NSOR Certificates dated more than 60 months apart. (SEE LIS CODE SHEET)

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.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature in the Large Room, was measured at 114.6 degrees which was accessible to children.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 cracked bins in room # 5. There were foam blocks with teeth marks in room #5. There was a broken pink plastic tube, a ripped chair pocket and a puzzle plastic bag with a hole in the p-k room. There was a broken easel in the preschool room. There were ripped climbing bocks with exposed foam in the Todd 1 room.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There were 3 mats in the toddler room that were not at least 2 feet of space on three sides of cot. There was 1 mat in the preschool room that was not at least 2 feet of space on three sides of cot. There were 2 mats in the pre-k room that were not at least 2 feet of space on three sides of cot.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child # 1 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.131(b)(2)/3270.131(e)(3)

Description: Toddler/preschool: updated health report every 12 months/Dismissal policy

Noncompliance Area: The file for child #2 a preschooler lacked an updated health report. The pervious report was dated 6/9/23.

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 7/23/24 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility emergency plan lacked the updates regarding the Continuity of Operations requirements. The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, lacked the Child Maltreatment statement.

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: 3270.182(5)

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

Noncompliance Area: The file for child # 3 lacked the signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff # 4 lacked 4 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #1,2 and 3 lacked the date on the disclosure statement.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff # 1 lacked annual written evaluation. The previous evaluation was dated 7/13/23.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a broken blind in room # 5. There was rubber board detaching from the wall in room # 5.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on the circle time wall by the food closet.

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

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: According to the fire detection log, the system was not tested at least every 30 days between 5/4/24 and 6/4/24..

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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a plastic toy cabinet in the outdoor gross motor space on which the back was detatched.

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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The last two health reports in the file for child #1, a preschooler, were dated 6/1/21 and 10/10/22

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: 3270.151(c)(2)(ii)

Description: Record include X-ray results and evaluation

Noncompliance Area: The file for staff person #1 contained a positive TB test, but did not contain the results of a chest x-ray.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There was a small puddle of dirty greenish water observed in the sink of one of the plastic play houses and in the sink of the plastic play kitchen in the outdoor gross motor space. Children were observed playing in the space during the inspection.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The certificate of compliance posted at the facility expired in 2022.

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(e)(4)(i)

Description: Age and Training

Noncompliance Area: The last two First aid/CPR trainings in the file for staff person #2 were dated 5/10/21 and 7/10/23.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, #3 and #5 included an old version of the disclosure statement. The child abuse clearance in the file for staff person #2 was for volunteer purposes. There was no NSOR clearance in the file for staff #4, hired on (SEE LIS CODE SHEET) and beyond their 45 day provisional period.

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 through #5 may not work in a child care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:20 pm, staff person #1 was observed alone in the toddler room with 9 young and older toddlers, who were lying on their cots. The staff person was sitting on the floor with their back against a cabinet. Four of the children were sleeping on the same side of the cabinets as staff person #1 and five of the children were sleeping on the other side of the cabinets, behind the staff person. Because of where the staff person was sitting and the positioning of cots, staff person #1 could not see, hear, direct and assess those five children. At approximately 1:25, staff person #6 was observed in the first half of the preschool room with 8 children who were lying on their cots. The staff person was sitting at a desk in the front of the space. Because there was a play wooden kitchen in the middle of the space, staff person #3 could not see, hear, direct and assess one of the children because they were lying behind the kitchen. At approximately 1:28, staff person #3 was observed in the back half of the preschool room with 10 children who were lying on the cots. The staff person was sitting at a desk in the front of the space. A child was lying in the corner of the room, which was obscured by furniture, so the staff person could not see, hear, direct an assess the child.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:28 pm, staff person #3 was observed in the back half of the preschool room with 10 children who were lying on the cots. After identifying nine of the children, the staff person stated she did not know the name of the 10th child because the child was new.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 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: Acceptable First-aid/CPR 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, by an AGS who has completed the required training related to this citation. 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At approximately 1:20 pm, staff person #1, hired provisionally on (SEE LIS CODE), was observed alone in the toddler room with younger and older toddlers and did not have their NSOR clearance.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information in the file for child #1 included an incomplete address for the child's parents, as it did not include a city or zip code. The emergency contact information in the file for child #2 did not include a work address for the child's mother.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information in the file for child #1 and #2 did not include a phone number or address for one of the release persons.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #3, holding the title of group supervisor, included a bachelor's degree diploma, but did not include verification of the field of study.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The first emergency drill documented was in 2022

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The last two emergency plan trainings in the file for staff person #4 were dated slighty more than 12 months apart.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #2, #4 and #6 have not completed the following required pre-service training within 90 days of their date of hire: Pediatric first-aid/CPR. Staff person #5 has not completed the following required pre-service training within 90 days of their hire: Pediatric First-aid/CPR and Health and Safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1, #2, #4, #5 and #6 will have until 8.24.22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #4, #5 and #6 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 #1, #2, #4, #5 and #6 may not work in a child-care position at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the main toddler room, the trash can in the bathroom to the left of the water fountain contained garbage and was not lined.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: There was one time in the past 12 months when the facility's fire drills were conducted 63 days apart.

Correction Required: The Director 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: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: There were three times that the facility's fire detection system was tested between 31 and 32 days apart.

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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: The file for Staff Person #1 lacked updated mandated reporter training within 60 months of the prior training. The file for Staff Person #2 lacked the completion of mandated reporter training within 90 days of starting in a child care taking position.

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

Noncompliance Area: In Classroom 6A/6B three cracked bins were observed. One bin had a sharp edge and two had potential pinch points.

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: A copy of the daily schedule was not posted in Classroom 3A, 3B & 4 for the toddler age children. A copy of the daily schedule was not posted in the Infant Classroom.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The emergency contact form for Child #1 lacked the addresses for the release persons listed.

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

Noncompliance Area: The file for Child #2 lacked verification that the child had received an annual flu vaccination. The last documented flu vaccination was 9/26/17. An exemption was not on file at the time of the inspection.

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

Noncompliance Area: An expired bottle of Polymyxin B-TMP eye drops was observed in the First Aid Kit in the 3A area of the Classroom.

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

Noncompliance Area: Three cracked bins with potential pinch points were observed in Room 6.

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

Noncompliance Area: The agreement for Child #1 lacked the designated release 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: The updates to the health reports for Child #2, who recently became an older toddler, lacked updated health assessments between 3/23/17 and 1/29/18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The health assessment on file for Staff Person #1 lacked the date of tuberculosis screening to verify that it had been completed within the 12 months prior to starting at the facility.

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

Noncompliance Area: The health assessment on file for Staff Person #2 lacked information related to the communicable diseases assessment.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: The mandated reported training for Staff Person #2 was not completed within 90 days of starting in a child care taking position. The training was completed shortly thereafter.

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

Noncompliance Area: An unlocked cabinet in Room 6 was observed to contain an accessible bottle of hair spray labeled Keep Out of Reach of Children. Also in Room 6 a package of antibacterial wipes labeled Keep Out of Reach of Children were observed in a child's backpack hanging on a cubby hook accessible to children in the 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.

Noncompliance Area: In Room 6A/6B four broken bins with potential pinch points were observed.

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

Noncompliance Area: The health report on file for Child #1 lacked a statement that the child is able to participate in child care and appear to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: In Room 5A/5B an older toddler was observed to be sitting at the table and playing with a bottle of sunscreens as the kids were preparing for outside play.

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: The file for Staff Person #4 lacked one of the two written, nonfamily references. One of the references on file was a relative.

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

Noncompliance Area: The file for Staff Person #1 lacked 2 of their required 6 hours of child care training. The file for Staff Person #3 lacked 6 hours of child care training. The file for Staff Person #5 lacked 1 of their 6 hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The files for Staff Person's #2 and #3 lacked annual staff evaluations completed within the last 12 months.

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

Noncompliance Area: The garbage can at the sink in room 5A/5B was observed to be missing the lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: In Room #6 three cracked lids and two cracked bins were observed and caused potential pinch and crush points.

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

Noncompliance Area: The garbage can in the restroom in Room #5 was not allowing the lid to open using the hands free mechanism. Soiled pull ups were observed in the can.

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

Noncompliance Area: The file for Staff Person #1 lacked verification that they had received training regarding the emergency plan at the time of initial hire.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: The garbage can at the sink area in Room #5 was missing the lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.