Kellys Kingdom Ii

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: The agreement on file for child #2 was the original.

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: There was no emergency contact form at the facility for child #1.

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.

Regulation: 3280.124(d)

Description: Excursions

Noncompliance Area: On 7/2/26, the operator was observed transporting children, including Child #1. There was no emergency contact form present with the operator or on the vehicle for Child #1.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3280.172(a)

Description: Written parental consent

Noncompliance Area: On 7/2/26, the operator was observed transporting children, including Child #1. There was no emergency contact form or written parental consent to transport Child #1 on file at the facility or on the vehicle, so it cannot be determined that the operator had written parental consent to transport the child.

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

Regulation: 3280.175(a)

Description: Age appropriate restraints

Noncompliance Area: On 7/2/26, the operator was observed transporting four children, all ages 7 and younger. There were no booster seats on the vehicle. The operator stated booster seats were not used when transporting the children.

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).

Regulation: 3280.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: On 7/2/26, there were four children receiving care in Room 1 (first room on the left on the first floor), which has a measured maximum capacity of 3 children.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered outlet in Room 4 (second floor, back) on a plugged in power strip in reach of children.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: There was white-out (labeled keep out of reach of children) in a low unlocked drawer in a filing cabinet in Room 1. There was sunscreen and insect repellent spray in cupholders behind the center console in a vehicle used for transportation.

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.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was a line of damaged plaster, approximately 2-3 inches in length, on the wall on the wall at the top of the steps from the first floor to the lower level, between Rooms 1 and 2.

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

Regulation: 3280.94(a)(1)/3280.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: There were no fire drills recorded between 12/18/25 and 5/1/26 on the facility's fire drill log.

Correction Required: Fire drills are conducted at least once every 60 days. 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: 3280.102(f)

Description: Hazardous toys and equipment

Noncompliance Area: There was a crack in a plastic lawn mower and splintered wood on posts in the outdoor playspace.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: There was a chair in Room 1 with a small tear, exposing foam to toddlers in care.

Correction Required: 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: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: The medical emergency transportation plan was not posted in Rooms 2 and 4.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: There was no hands-free lidded trash can in the restroom where children's diapers or pull-ups are changed.

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.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Information on how to contact the regional certification office and access the regulations electronically were not posted or provided to parents.

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: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not specify accommodations for infants and toddlers in the event of an emergency.

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.

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was not posted in a conspicuous location.

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

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents explaining the emergency plan did not include information regarding accommodations for infants and toddlers.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The current mandated reporter training documented and on file for Facility Person #1 was completed more than 60 months after the previous training.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There was no child abuse clearance on file for Facility Person #3. The child abuse clearance on file for Facility Person #2 was completed after their start date.

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 #3 may not work in a child care position at the facility without a completed child abuse clearance.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was a powerstrip in Room 4 with four uncovered outlets on a wall in reach of children.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In Room 2 there were Lysol wipes on a counter in reach of 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.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: There was wrinkling in the outdoor carpet on the ground in the facility's outdoor playspace, creating tripping hazards.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: There was no documentation of smoke detector testing by the operator, required to be completed at least every 30 days.

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 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: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #2 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #3 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: The file for child #1 did not contain a current health report. The most recent health report on file was dated over 12 months ago.

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.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for staff #1 contained consecutive health assessments dated more than 24 months apart. The most recent health assessment on file is now current.

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.

Regulation: 3280.31(e)(4)(i)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: Staff #1 did not renew pediatric first aid and CPR certification on or before its expiration. The previous training was dated 9/22/21 and expired 9/2023. Current training is now on file dated 1/14/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics 1-9.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 contained a disclosure statement that was not dated; thus compliance could not be determined. The file for staff #3 did not contain a signed disclosure statement and contained a child abuse clearance dated 2/25/24 obtained for the purpose of volunteering.

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. Staff #3 may not work in a child care position at the facility.

Regulation: 3280.15(b)

Description: Ongoing compliance

Noncompliance Area: The facility's certificate of occupancy (COO) lists the following restrictions: Use of first and second floors as childcare (general) for up to 12 children ages 3 to 12 years. Per observation and staff statements, childcare occurs in the basement (childcare gross motor space), first and second floor of the building. Childcare is provided to children ages 1 to 3 years. Which is not compliant with the COO.

Correction Required: (b) The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: The toilet training seat observed attached to the toilet upstairs was cracked. A split seat cover which exposed the inner foam filling was observed on a pink Barbie bike in the outdoor play space.

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: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #4, enrolled for over 6 months, did not contain a child service report. The files for children #1 and #5 contained consecutive service reports dated more than 6 months apart, but are now current.

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).

Regulation: 3280.131(d)(5)/3280.131(e)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The files for children #1 through #4 contained immunization records which did not include documentation of receiving the influenza vaccine at any time. The file for child #5 did not contain documentation of receiving the influenza vaccine since Jan 2022. Written exemptions were not on file.

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: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the facility's fire drill log, consecutive drills dated 9/14/22 and 11/15/22 were conducted 62 days apart.

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 fire drills are conducted at least once every 60 days.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted on the 3 floors of the facility.

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: 3280.106

Description: Refrigerator

Noncompliance Area: The facility's refrigerator lacked a thermometer at the time of the inspection.

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: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 contained emergency contact information which did not include a health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for staff #1 lacks a current health assessment. The most recent health assessment on file is dated over 24 months ago.

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.

Regulation: 3280.31(g)/3280.192(2)(iii)

Description: Documentation of professional development/Exp, educ., training at facility

Noncompliance Area: The file for staff #5 contained documentation of completing training topics as referenced in 3280.31(f) prior to September 30, 2016. The training was dated 9/11/16.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Based on documentation, staff #1 and staff #2 have not updated mandated reporter training within 60 months as required. The documented training dates are as follows; staff #1 - 4/30/17, and staff #2 - 4/28/17.

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.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 contained an expired FBI clearance dated 4/27/17. The files for staff #3 and #4 did not contain signed disclosure statements.

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. Staff #2 may not work in a child care position at the facility.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A small area of peeling paint was observed in the downstairs play room.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Proof of purchase for the interconnected fire alarms was not presented at renewal.

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

Noncompliance Area: A folding chair was observed to be ripped, exposing foam on the seat, accessible to young children who still may be placing objects in their mouths.

Correction Required: 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: The file for Child #1 contained an emergency contact form which lacked the name of the child's medical provider.

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: The file for Child #1 contained an emergency contact form which lacked the health insurance coverage 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: The file for Child #1, age 9 months, contained documentation of immunization history which lacked the current doses of DTAP and Pneumococcal vaccinations. The files for Child #3, age 2 years, and #4, age 3 years, contained documentation of immunization history which lacked the current doses of influenza vaccinations.

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: The screen in the bathroom was observed to be ripped during the on-site inspection.

Correction Required: Screens shall be in good repair.

Noncompliance Area: A riding toy was observed to be missing a handle, causing a sharp edge, in the backyard play space.

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 puzzle piece and Lego piece, both with a diameter of less than 1 inch, were observed on the floor of the basement play space, accessible to children who may still be placing objects in their mouths.

Correction Required: 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: Upon assessment of supervision and ratio in the upstairs front room on 11/26/19 at 9:30 AM, Staff #1 was present with 6 children - 5 OT and 1 YT.

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).

Noncompliance Area: Upon assessment of supervision and ratio in the upstairs front room on 11/26/19 at 9:30 AM, which has a documented capacity of 5, 6 children were present - 1 YT and 5 OT.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: The gate on the backyard fence was observed to be off the hinges. leaving an opening for children, which would allow children access to a road in front of the building.

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

Noncompliance Area: Two electrical outlets were observed to be uncovered in the upstairs infant room and one electrical outlet was observed to be uncovered in the basement play space.

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

Noncompliance Area: The lattice wood work around the shed in the backyard play space was observed to be pulling away from the shed, causing sharp edges and an exposed nail to be accessible to children.

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.

Noncompliance Area: Peeling paint was observed between the two windows in the upstairs front room and on the yellow and green corners of the basement play 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: The files for Child #2 and #3 contained consecutive Child Service Reports dated more than six months apart.

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: The file for Child #4 contained an emergency contact form which lacked the home telephone number 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: Emergency contact information was not present with the children while on a walk on the day of the inspection.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: The files for Child #2 and #4 contained consecutive health reports dated more than 12 months apart.

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: The files for Staff #1 and #2 contained most recent health assessments dated more than 24 months ago.

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.

Noncompliance Area: The files for Child #1 and #2 contained agreements which included consecutive updates dated more than six months part. The file for Child #1 contained an emergency contact form which included consecutive updates dates more than six months apart.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The file for Staff #2 lacked documentation of a state police clearance. Said clearance was reviewed by cert rep at a previous inspection and found to be valid and current.

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.

Noncompliance Area: Standing water was observed in a barrel, a garbage can and a plastic bin in the backyard play space.

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

Noncompliance Area: The emergency plan was not posted in a conspicuous location for parents.

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

Noncompliance Area: The file for Staff #2 lacked documentation of the 6 required child care training hours for the anniversary year. The file for Staff #3 contained documentation of 1 of the 6 required child care training hours for the anniversary year.

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: Two metal shovels and two metal rakes, both with sharp edges, were observed in the backyard play space.

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.

Noncompliance Area: Legos with a diameter of less than 1 inch were observed on the kitchen set in the downstairs room, which were accessible to young children who may still place objects in their mouths.

Correction Required: 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: Upon assessment of naptime ratio and supervision at 1:15 PM on 5/17/18 in the upstairs room, cots and cribs were observed to have less than 2 feet on 3 sides while in use.

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.

Noncompliance Area: An infant was observed to be sleeping with a pacifier which had a strap attached.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: A daily schedule of activities was not posted in the facility.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: An infant was observed to be sleeping on his side propped up on a boppy pillow in the upstairs room to the right of the stairs. This sleeping position is not recommended by the American Academy of Pediatrics.

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: The file for Child #2 contained an agreement which lacked the child's times of care.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The file for Child #1 contained an emergency contact form which lacked the telephone number for the child's medical provider.

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: The file for Child #3 contained an emergency contact form which lacked the work address and telephone number 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: The file for Child #3 contained an emergency contact form which lacked the child's health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The file for Child #2 contained an initial health report dated more than 60 days following the first day of child care.

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.

Noncompliance Area: The file for Child #3 contained an initial health report which lacked a date, making it unable to be determined if it was completed more than 6 months before the first day of attendance, 4/26/18.

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.

Noncompliance Area: The file for Staff #2, designated as a Primary staff person, contained documentation of two years of pervious child care experience. The file lacked documentation of a high school diploma. Education was confirmed from documentation of a previous inspection.

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: The file for Staff #3 lacked documentation of two written, nonfamily references. Documentation of references being obtained was confirmed from documentation of a previous 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: Loose crib sheets were observed on two cribs in the Upstairs Room, causing the risk of suffocation for sleeping infants.

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

Noncompliance Area: The emergency plan had not been updated in the current year.

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.

Noncompliance Area: The file for Staff #2 contained documentation of 4 of the 6 hours of required annual child care training.The file for Staff #3 contained 3 of the 6 hours of required annual child care training.

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

Noncompliance Area: The file for Staff #1 contained a PDE FBI clearance that contained a record. The file was observed to lack a DHS FBI clearance or letter from ChildLIne.

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 must obtain a DHS FBI clearance or a letter from ChildLine confirming staff is suitable to work in child care. Facility Person #1 must be supervised while obtaining the clearance or letter for a period of up to 30 days.

Noncompliance Area: During assessment of ratio and supervision in the Upstairs Room at 10:45 AM on 5/7/18, Staff #1 was observed with 8 children - 1 PS, 5 OT and 2 YT. No other staff were present in the room at this time.

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).

Noncompliance Area: At 10:45 AM on 5/7/18. there were 8 children - 1 PS, 5 OT and 2 YT - observed in the Upstairs Room, which has a documented capacity of 5 children. During assessment of naptime ratio and supervision at 1:15 PM on 5/7/18, Staff #4 was observed to be present in the upstairs room to the right of the stairs with 3 children - 1 YT and 2 Infants. This room is not listed on the certificate as licensed space. It was determined to be listed on a previous capacity sheet as an unlicensed Nap Room, in which Infants would not be permitted.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: The windows in the Upstairs room were observed to open greater than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: The first-aid kit in the Pre-School Room was observed to lack gloves and sterile gauze pads.

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: The exit from the Upstairs Room was observed to be obstructed by a changing table.

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 facility lacked a daily activities schedule posted in the facility.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: Child file #1 and #2 lacked a child service reports completed every 6 months as required.

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: Children's updated emergency contact forms were not present in the child care space while children were in care.

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.

Noncompliance Area: Staff file #1 and #2 lacked health assessment prior to initial hire.

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.

Noncompliance Area: Infant bottles were not labeled with child's name.

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

Noncompliance Area: Staff file #1, #2 and #3 lacked documentation of child care experience prior to hire in the file. Staff file #1 lacked documentation of education prior to hire.

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: The infant crib sheets were loose fitting posing a suffocation hazard for infants in care.

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

Noncompliance Area: The facility lacked an emergency plan.

Correction Required: The facility shall have an emergency plan

Noncompliance Area: Staff file #1, DOH 5/1/17 contained request for Child Abuse clearance on 5/5/17 and lacked a signed disclosure statement. Staff file #2, DOH 5/1/17 contained request for Child Abuse clearance on 5/31/17, and an incomplete PA State Criminal clearance and lacked a signed disclosure statement.

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