Kck Academy Llc

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: One child's record did not contain child service reports completed every 6 months in accordance with this regulation. (#1)

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Revise and submit written policies and procedures regarding the completion of child service reports every 6 months to ensure ongoing compliance.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedures (lockdown and accommodations) to the plan as required in 3270.27 subsection a.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures/ and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 11/14/24, at approximately 2:30pm, a group of three young/older toddlers were observed in the rear playroom alone and unattended while the only staff present was in another classroom.

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 legal entity must arrange for all facility staff persons to receive at least 2 hours of DHS approved hands on/in person training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. Submit written verification of the completed training for all facility staff persons.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 11/14/24, at approximately 2:30pm, a group of three young/older toddlers were observed in the rear playroom alone and unattended while the only staff present was in another classroom.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Three children's records did not contain a child service report that had been completed within the past 6 months. (#1-corrected, #2 and #3-not corrected)

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Three children's records did not contain emergency contact and/or financial agreement information that had been updated within the past 6-months. (#2-both-not corrected, #4-agreement-corrected) and #5-agreement)-not corrected

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#3)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's written policies on shaken baby syndrome, abusive head trauma, and child maltreatment did not include the identification and prevention of child maltreatment.

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. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility lacked written verification of comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy was not on file at the facility at the time of the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Obtain and submit written verification of the facility's comprehensive general liability insurance. Ensure that a current copy of the insurance policy is on file at the facility.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: One child's record did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission.(#4)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3270 regulations.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified. We will review and update the emergency plan.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 11/14/24 at approximately 2:30pm, one staff person was observed caring for a mixed age group of 11 young toddler and older toddler, preschool and school age children in the main classroom. Staff person #1 verified that ages of the children.

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 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff persons to receive at least 2 hours of hands on/in person DHS approved ratio training. Submit written verification of the completed training for all facility staff persons.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 11/14/24 at approximately 2:30pm, one staff person was observed caring for a mixed age group of 11 young toddler and older toddler, preschool and school age children in the main classroom. Staff person #1 verified that ages of the children.

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 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.52/3270.54(a)

Description: Mixed Age Level/Two facility persons present in facility

Noncompliance Area: On 11/14/24 at approximately 2:30pm, fourteen children were observed in care and there was only one staff person present. In addition, staff child ratios were not in compliance in another classroom where three young and older toddlers were present, and no staff person was observed caring for the children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. The legal entity must arrange for all facility staff persons to receive at least 2 hours of DHS approved ratio training. Submit written verification of the completed training for all facility staff persons.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the walls and peeling paint is not permitted in child care facilities.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Make necessary repairs to ensure that there is no peeling and damaged paint or damaged plaster in the facility. Submit adequate documentation verifying removal of the peeling paint.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Handwashing signs posted in the bathroom did not specify that a facility person and an able child shall wash his hands after toileting and before eating.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Revise and post handwashing signs that includes the information as specified in this regulation/Post a handwashing sign in the infant classroom as specified in this regulation.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: There was no written record of fire drills being held at the facility. Fire drill records indicated that the last drill was conducted on 8/5/24.

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. Revise and submit written fire drill policies to ensure that fire drills are completed at least every 60 days and recorded in writing as specified in this regulation. Conduct and submit a record of all fire drills completed within the past 60 days.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Children were observed resting on rest equipment that was not labeled for the use of that specific child. Children were observed napping in rest equipment that was labeled with another child's use.

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. Label the rest equipment for use of a specific child and ensure that children only rest on equipment labeled for their specific use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 12/21/23 at approximately 1pm, a group of two young school age children were observed in the rear playroom alone and unattended. Another group of four young/older toddlers were observed in the young/older toddler classroom alone and unsupervised on several occasions when the staff person kept leaving the room to attend to other tasks.

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. Ensure that children are supervised at all times. The director will conduct regular observations to ensure that children are being supervised at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 12/21/23 at approximately 1pm, a group of two young school age children were observed in the rear playroom alone and unattended. Another group of four young/older toddlers were observed in the young/older toddler classroom alone and unsupervised on several occasions when the staff person kept leaving the room to attend to other tasks.

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 legal entity must arrange for all facility staff persons to receive at least 2 hours of DHS approved training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. The training must be DHS approved training. Submit written verification of the completed training for all facility staff persons.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Two young school age children were observed in the rear childcare space and their emergency contact information was not present in the childcare space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Ensure that emergency contact information is present in all childcare spaces in which children are receiving care. The emergency contact information will be placed in the childcare space in which the child is receiving care.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Children were observed eating snack/lunch and staff did not ensure that the children's hands were washed before eating.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The legal entity must arrange for all staff persons to be trained staff persons in proper hand washing requirements and procedures. Submit written verification of the completed training for all facility staff.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: Several children's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1, #2 and #3)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not 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.

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. 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 childcare office.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3270.52/3270.54(a)

Description: Mixed Age Level/Two facility persons present in facility

Noncompliance Area: On 12/21/23, fourteen children were observed in care and there was only one staff person present. In addition, staff child ratios were not in compliance in two childcare spaces when no staff person observed in the childcare spaces caring for the children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A bucket of standing water observed in the bathroom used by children presented a safety hazard to the children in care.

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. Empty the bucket of water and ensure that all containers of water are immediately emptied after each use. Notify all staff of this requirement and submit written notification of staff notification.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: Fire drill records contained the same hypothetical location of the fire for consecutive fire drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Submit a written policy statement indicating that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection, cert rep observed the refrigerator at the facility had a malfunctioning thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During renewal inspection, cert rep observed missing or outdated disclosure statement documentation and outdated PA State Police clearances in the files of Staff 1, Staff 2 and Staff 3. In addition, cert rep observed out of date FBI clearances and mandated reporter training documentation in the files of Staff 1 and Staff 2.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection, cert rep observed missing documentation of 12 hours of child care training in the file of Staff 1.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During renewal inspection, cert rep observed out of date first aid training documentation in the files of Staff 1 and Staff 2.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection, cert rep observed out of date fire training documentation in the file of Staff 1.

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

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During renewal inspection, cert rep observed missing postings of evacuations at the facility.

Correction Required: The Director 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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: During renewal inspection, cert rep observed missing documentation of fire drill logs at the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During renewal inspection, cert rep observed missing evacuation route posted in the front classroom.

Correction Required: The Director 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.

Noncompliance Area: During renewal inspection on 12/5/19, cert rep observed missing parental signatures updating the emergency contact forms and agreements in the files of Child 1, Child 2, Child 3 and Child 4.

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 renewal inspection on 12/5/19, cert rep observed an out of date health assessment in the file of Child 2.

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 renewal inspection on 9/18/18, cert rep observed missing individuals named as emergency contact individuals in the file of Child 5.

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

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed missing health assessment in the file of Child 5.

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.

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed no menu posting at the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed missing verification of age in the files of Staff 1 and Staff 2.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed missing documentation verifying child care experience, education and training prior to service at the facility in the file of Staff 2.

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

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed one missing written, nonfamily reference in the file of Staff 4.

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: During renewal inspection on 10/18/18, cert rep observed no posting of the facility's current certificate of compliance.

Correction Required: The facility's current certificate of compliance 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 renewal inspection on 9/18/18, cert rep observed no current documentation showing compliance with the Civil Rights Act of 1964 present at the facility.

Correction Required: A legal entity must comply with The Pennsylvania Human Relations Act (43 P. S. 951-962.2), the Age Discrimination Act of 1975 (42 U.S.C.A. 6101-6107), Title VI of the Civil Rights Act of 1964 (42 U.S.C.A. 2000d-2000d-4a). Title VII of the Civil Rights Act of 1964 (42 U.S.C.A. 2000e-2000e-5), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.A. 794), the Americans with Disabilities Act of 1990 (42 U.S.C.A. 12101-12514).

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed missing disclosure statement in the file of Staff 1.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed missing protective receptacle cover in an electrical outlet in the play area.

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

Noncompliance Area: During renewal inspection on 9/18/18, cert rep observed missing gloves, gauze and bandages in the first aid kit located in the infant room, and missing scissors from the first aid kit in the preschool room.

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 renewal inspection on 9/18/18, cert rep observed chipped paint on the walls and doors in the infant room, the preschool room, and play area, along with damaged plaster in the play area.

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 renewal inspection on 9/18/18, cert rep observed shoes, boots and bags located in the hallway creating possible trip hazards in the evacuation route space.

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

Noncompliance Area: The emergency contact form of Child #1 is missing health insurance name 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: Staff person #2 last had a physical in the rcord on 9/17/15.

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.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: Staff person #1 only has one letter of reference.

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 person #1 only has a high school diploma in her record, no verification of hours of experience working with children. Therefore she only qualifies as an aide and was observed working alone with children.

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