Ken Crest-lehigh

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the allocated unannounced monitoring, certification representative reviewed 2 staff files and the file for staff #1 did not include an updated health assessment. (last 4/1/24)

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the comprehensive general liability insurance expired on 2/28/26

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 staff files and the file for staff #1 and #2 did not include the update disclosure statement that was effective: February 1, 2025.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the renewal inspections, certification representative conducted a facility walkthrough and observed a toilet in the last stall close to the window in disrepair the bathroom is across from the main office.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: DURING THE RENWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 5 CHILDRENS FILES AND THE HEALTH REPORTS FOR CHILD #1, #2 AND #3 DID NOT INCLUDE THE STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE FACILITY FILES AND THE COMPREHENSIVE GENERAL LIABILITY INSURANCE EXPIRED ON 2/28/2025

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.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 4 STAFF FILES AND THE FILES OF STAFF #1 AND STAFF #2 DID NOT INCLUDE PEDIATRICE FIRST AID AND CPR TRAINING WITHIN 90 DAYS OF HIRE.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: DUDRING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND THE TRASH CAN IN ROOM 3 NEXT TO THE CHILDRENS COMPUTER DESK, AND IN THE BATHROOMS OF ROOM 3, ROOM 6, AND ROOM 7 DID NOT HAVE A TRASH CAN LID.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and staff #1 and staff #2 did not know how many children were assigned to them.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and the policy for Shaken Baby Syndrome and Child Maltreatment did not address recognition for potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing or distraught child and the identification and prevention of child maltreatment per Announcement C-22-03 that was issued on January 24,2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 7 staff files and the file for staff #3, STAFF #4, staff #5 and staff 68 did not include a verification of child care experience.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there was chipped paint throughout in the following areas: GREY WALL ACROSS FROM TOILET IN ROOM 7.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: While conducting a renewal inspection on 5/11/23 it was observed classroom #4 located on the 2nd floor dramatic play area kitchen handle is broken and a sharp nail is exposed causing a cutting threat to children.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: While conducting a renewal inspection on 5/11/23 it was observed child#1 emergency contact form has not been reviewed or updated within 6 month period

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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: While conducting a renewal inspection on 5/11/23 it was observed the 1st floor bathroom in classroom # 1; the toilet area in classroom# 2 and toilet area in classroom #3 did not have the required handwashing signs posted.

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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THERE WAS A LARGE HEAVY BOX ACCESSIBLE TO CHLDREN IN ROOM 7 NOT DURABLE ACCESSIBLE TO CHILDREN.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THERE WAS A COT PRESENT IN ROOM ONE NOT LABELED.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THE DAILY ACTIVITY WAS NOT POSTED IN THE CLASSROOM 1,5, AND 7

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, STAFF WAS UNABLE TO PROVIDE THE EMERGENCY CONTACT FORM FOR THE CHILD CARE PRESENT IN THE 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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, ROOM 1 AND 7 DID NOT HAVE A WRITTEN PLAN POSTED IDENTIFYING THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE AND STAFFING PROVISIONS IN THE EVENT OF AN EMERGENCY THAT ALSO STATES WHO SHALL ACCOMPANY A STAFF PERSON WHO LEAVES ON AN EXCURSION WITH CHILDREN.

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: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THE EMERGENCY PLAN DID NOT STATE THE LOCK DOWN INFORMATION ON THE PLAN.

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

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THE EMERGENCY PLAN DID NOT STATE THE METHOD TO INFORM PARENTS EMERGENCY HAS ENDED ADN INSTRUCTIONS FOR HOW TO SAFELY BE REUNITED WITH THEIR CHILDREN.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THE EMERGENCY PLAN DID NOT STATE ACCOMMODATIONS FOR INFANT, TODDLERS, CHILDREN WITH DISABILITIES AND CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THE EMERGENCY PLAN HAS NOT BEEN SENT TO THE LOCAL MUNICPALITY AND COUNTY EMERGENCY MANAGEMENT AGENCY.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THERE WAS AN AIR FRESHENER IN THE RESTROOM ON THE FIRST FLOOR UNDER THE UNLOCKED CABINET ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD. THERE WAS ALSO PURELL IN ROOM2 AND 5, GERM BE GONE IN ROOM 3 AND 7, THAT READ KEEP OUT OF REACH OF CHILDREN, THAT WERE ACCESSIBLE TO CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THERE WAS A BOTTLE WITH CLEAR SOLUTION UNDER THE UNLOCKED CABINENT IN THE FIRST FLOOR BATHROOM NOT LABELED.

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 stored away from food, food preparation areas and child care spaces.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, THERE WERE MOUSE TRAPS ON THE FLOOR ACCESSIBLE TO CHLDREN CAUSING A POTENTIAL HAZARD IN THE CHILD CARE SPACE OF ROOM 5.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/11/22, ROOM 5 DID NOT HAVE A FIRST AID KIT PRESENT IN THE ROOM.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: At the time of the inspection, there was no 6 month update to the emergency contact form and/or agreement for child #1-5.

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: At the time of the inspection, there was no updated health assessment on file for child #1 (date of birth 2-1-15). The last on file was dated 2-14-19.

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: At the time of the inspection, there was no immunization for influenza or exemption from the immunization on file for child #1, 2 and 4.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: At the time of the inspection, there was nothing on the health assessment of child #1, 3 and 5 that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: At the time of the inspection, there was no verification that the operator notified the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: At the time of the inspection, there was only 4 hours of child care training on file for staff #4.

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

Noncompliance Area: At the time of the inspection, the last fire drill that was recorded was done on 9-4-19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: At the time of the inspection, there was no date of admission on the agreement for child #4.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: At the time of the inspection, there was no phone number of the child's physician or source of medical care on the emergency contact form for child #4.

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: At the time of the inspection, there was no work address and phone number of the enrolling parent on the emergency contact form for child #4.

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

Noncompliance Area: At the time of the inspection, there was no health insurance policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child #5.

Correction Required: Emergency contact information must include health insurance coverage and policy number , if applicable.

Noncompliance Area: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #4 and 5.

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: At the time of the inspection, the health report for child #1-3 did not include the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: At the time of the inspection, the health assessment on file for staff #19 was dated 11-16-15 and therefore was expired 11-16-17.

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: At the time of the inspection, there was no verification of a tuberculosis screening by the Mantoux method at initial employment on file for staff #1.

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

Noncompliance Area: At the time of the inspection, the high school diploma on file for staff #19 was in Spanish and needed to be translated and evaluated.

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

Noncompliance Area: At the time of the inspection, there was no emergency plan training on file for staff #1, 5, 7, 11, 14, 17, 18.

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

Noncompliance Area: At the time of the inspection, there was no verification of fire safety training on file for 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.

Noncompliance Area: At the time of the inspection, there was no date and no witness signature on the disclosure of staff #1. The disposition on the rap sheet of the State Police Clearance dated 10-13-15 shows no disposition reported for staff #3 (date of hire 9-03-13). There was no disclosure statement and no mandated reporter training on file for staff #5 (date of hire 10-24-18). There was no mandated reporter training on file for staff #11 (date of hire 11-05-18). There was no signed disclosure statement on file for staff #19 (date of hire unknown).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, the green hand soap that was being stored by each sink in each classroom did not contain a label identifying the contents and ingredients of the soap.

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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: On 3/13/18 at renewal inspection certification representative observed a couch in the all stars classroom that had a large tear on the seat.

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: On 3/13/18 at renewal inspection certification representative observed that the files of staff persons # 4 , # 6, # 7, and # 8 contained health assessments older than 24 months. The files of staff persons # 1 and # 2 did not contain health assessments or TB test results.

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

Noncompliance Area: On 3/13/18 at renewal inspection certification representative observed that the file of child # 1 did not contain an agreement form.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: On 3/13/18 at renewal inspection certification representative observed that the files of staff persons # 1,2,3, and 4 did not contain verification of age.

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

Noncompliance Area: On 3/13/18 at renewal inspection certification representative observed that the files of staff person # 1 and # 2 did not contain verification of staff persons education and experience prior to working at the facility.

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: On 3/13/18 at renewal inspection certification representative observed that the files of staff persons # 1, # 2, and # 4 did not contain verification that staff attended fire safety and emergency plan training in the last 12 months.

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

Noncompliance Area: On 3/13/18 at renewal inspection certification representative observed that the file of staff person # 3 did not contain a PA criminal background check or disclosure statement. The file of staff persons # 4 and # 8 did not contain an FBI clearance. The file of staff person # 5 did not contain verification that staff person completed mandated reporter training.

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

Noncompliance Area: On 3/13/18 at renewal inspection certification representative observed toxic cleaning products in unlocked cabinets under the sink in the caterpillar room and the all stars room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: On 3/13/18 at renewal inspection certification representative observed many holes in the wall in the gross motor play area of the facility.

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: On 3/13/18 at renewal inspection certification representative observed that there were no hand washing signs by the sink in the 1st floor bathroom, the rocketeers classroom, and the all stars classroom.

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.

Noncompliance Area: On 3/22/17 at renewal inspection certification representative observed that the emergency contact form for child # 2 did not contain written consent for emergency medical care and adminstration of first aid.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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.

Noncompliance Area: On 3/22/17 at renewal inspection certification representative observed that the emergency contact form for child # 3 did not contain 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: On 3/22/17 at renewal inspection certification representative observed that the file of child # 1 contained a health assessment dated 12/24/15.

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: On 3/22/17 at renewal inspection certification representative observed that the file of staff person # 1 contained a health assessment dated 3/12/14.

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: On 3/22/17 at renewal inspection certification representative observed that the file of staff person # 2 did not contain a child abuse clearance, the file of staff person # 5 did not contain an FBI clearance, and the file of staff person # 4 contained a rap sheet that did not specify the disposition of charges. The file of staff person # 3 did not contain documentation of staff person having completed mandated reporter training. All staff are past the 90 day provisional period.

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.