Karina Arce

Noncompliance Area: During the 4/5/2019 renewal inspection observed play equipment did not include materials for dramatic role playing.

Correction Required: Play equipment and materials shall include materials for dramatic role playing.

Noncompliance Area: During the 4/5/2019 renewal inspection observed the facility's cat and dog did not have current veterinarian's certificate of current rabies immunization on file at the facility.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: During the 4/5/2019 renewal inspection observed child #1's file did not include an updated child service report to provide information to the family about the child's growth and development in the context of services being provided.

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: During the 4/5/2019 renewal inspection observed child #1's emergency contact information and financial agreement were not reviewed by the parent in the 6-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: During the 4/5/2019 renewal inspection observed the facility did not have an emergency plan that provides for shelter in place of children during an emergency at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..

Noncompliance Area: During the 4/5/2019 renewal inspection observed staff person #1 did not have an biennial minimum of 12 clock hours of child care training on file.

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

Noncompliance Area: During the 4/5/2019 renewal inspection observed cleaning materials stored child accessible under the bathroom sink.

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: During the 4/5/2019 renewal inspection observed the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the facility telephone.

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: During the 4/5/2019 renewal inspection observed the first-aid kit did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: During the 4/5/2019 renewal inspection observed damaged pain and plaster on indoor surfaces in the child care facility.

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

Noncompliance Area: During the 4/5/2019 renewal inspection observed facility did not have fire evacuation drills conducted.

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

Noncompliance Area: ON APRIL 11, 2018 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 WAS NOT SIGNED BY THE PARENT.

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

Noncompliance Area: ON APRIL 11, 2018 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 1 WAS NOT UPDATED ATLEAST ONCE IN A 6-MONTH PERIOD. THE FINANCIAL AGREEMENT REVIEWED FOR CHILD # 2 WAS NOT UPDATED ATLEAST ONCE IN A 6-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: ON APRIL 11, 2018 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 OBTAINED A BIENNIAL MINIMUM OF 12 CLOCK HOURS OF CHILD CARE TRAINING.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, CHILD # 2 AND CHILD # 3 WERE ASLEEP IN SLEEPING CHAIRS THAT WERE NOT LABELED FOR USE OF A SPECIFIC CHILD.

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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A WRITTEN PLAN OF DAILY ACTIVITIES AND ROUTINES ESTABLISHED OR POSTED IN A CONSPICUOUS LOCATION AT THE FACILITY.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 WAS NOT SIGNED BY THE OPERATOR. THE AGREEMENT REVIEWED FOR CHILD # 2 AND # 3 WAS NOT SIGNED BY THE PARENT.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF INFORMATION BEING PROVIDED TO FAMILIES ABOUT THE CHILD'S GROWTH AND DEVELOPMENT WITHIN A 6-MONTH PERIOD FOR CHILD # 2 AND CHILD # 3.

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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 2 AND # 3 DID NOT SPECIFY THE PERSONS DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 2 DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 2 AND # 3 DID NOT INCLUDE THE NAME, ADDRESS AND TELEPHONE NUMBER OF THE CHILD'S PHYSICIAN OR SOURCE OF MEDICAL CARE.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 1 DID NOT INCLUDE THE WORK ADDRESS OF THE ENROLLING PARENT.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR 3 OUT OF 3 OF THE CHILDREN DID NOT INCLUDE WRITTEN CONSENT SIGNED BY A PARENT FOR EMERGENCY MEDICAL CARE.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 2 AND # 3 DID NOT INCLUDE INFORMATION ON THE CHILD'S SPECIAL NEEDS.

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.

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 2 AND # 3 DID NOT INCLUDE HEALTH INSURANCE COVERAGE AND 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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR 3 OUT OF 3 OF THE CHILDRENS FILES DID NOT INCLUDE THE NAME, ADDRESS AND TELEPHONE NUMBER OF THE DESIGNATED RELEASE PERSON.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A WRITTEN EMERGENCY TRANSPORTATION PLAN ESTABLISHED OR POSTED IN A CONSPICUOUS LOCATION IN EVERY CHILD CARE SPACE IN THE FACILITY.

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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION THERE WAS NO EVIDENCE OF A HEALTH ASSESSMENT OR TUBERCULOSIS SCREENING BY THE MANTOUX METHOD FOR STAFF PERSON # 1 AND # 2.

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.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.

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF AN INDIVIDUAL RECORD ESTABLISHED OR MAINTAINED FOR CHILD # 2 AND # 3.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION AND AGREEMENT REVIEWED FOR CHILD # 2 AND # 3 WAS NOT UPDATED WITHIN A 6-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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, 3 OUT OF 3 OF THE CHILDREN'S RECORDS REVIEWED DID NOT CONTAIN AN INITIAL HEALTH REPORT.

Correction Required: A child`s record must contain initial and subsequent health reports.

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR 3 OUT OF 3 OF THE CHILDREN DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MEDICATIONS OR SPECIAL DIETARY NEEDS OR SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID PROCEDURES BY FACILITY STAFF.

Correction Required: A child`s record must contain signed parental consent for administration of medications or special dietary needs.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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, 3 OUT OF 3 OF THE CHILDRENS RECORDS REVIEWED DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR WALKING EXCURSIONS.

Correction Required: A child`s record must contain signed parental consent for walking excursions.

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF AN INDIVIDUAL RECORD ESTABLISHED FOR STAFF # 2, HIRE DATE 2/1/2010.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF # 1 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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, A COPY OF THE APPLICABLE REGULATIONS UNDER WHICH THE FACILITY IS CERTIFIED AND INSTRUCTIONS FOR CONTACTING THE REGIONAL DAYCARE OFFICE 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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, AN EMERGENCY PLAN WAS NOT ESTABLISHED OR POSTED AT THE FACILITY.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF 12 CLOCK HOURS OF CHILD CARE TRAINING BIENNIALLY FOR STAFF # 1.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A CRIMINAL HISTORY RECORD, CHILD ABUSE CLEARANCE, FBI CLEARANCE, MANDATED REPORTER TRAINING AND DISCLOSURE STATEMENT AS REQUIRED UNDER CPSL FOR STAFF # 2 HIRE DATE 2/1/2010.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS A MISSING PROTECTIVE RECEPTACLE COVER IN THE REST AREA ON THE TAN WALL AND IN THE FRONT ROOM NEAR THE CRIBS.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS LYSOL CLEANING SPRAY IN THE CABINET IN THE SECOND FLOOR BATHROOM ACCESSIBLE TO CHILDREN.

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: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, EMERGENCY NUMBERS WERE NOT POSTED BY THE TELEPHONE IN THE FACILITY.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ON THE BASEBOARDS THROUGHOUT THE CHILD CARE FACILITY. THERE WAS CHIPPING PAINT ON THE TAN WALL IN THE REST AREA IN THE CHILD CARE SPACE.

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

Noncompliance Area: ON APRIL 14, 2017 DURING THE RENEWAL INSPECTION, FIRE EVACUATION PLANS WERE NOT DEVELOPED OR POSTED IN THE FACILTY.

Correction Required: Fire evacuation plans shall be developed and posted.