KINDERCARE LEARNING CENTER 073093

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the complaint investigation conducted 6/10/26, it was found that 6 out of 16 infants were sleeping in cribs without at least 2 feet of space required on three sides.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation conducted 6/10/26, there were 16 children (the youngest child in the group was an infant age child) present in the infant classroom with staff person # 1, # 2, # 3, # 4, and # 5, which exceeds the maximum group size for an infant.

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.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During the renewal inspection conducted 10/1/25, the health assessment reviewed for child #1 did not include a statement that the child is able to participate in childcare 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 childcare and appears to be free from contagious or communicable disease.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the unannounced inspection conducted 7/8/25, three infants were observed sleeping in cribs inside of the infant room childcare space without having at least 2 feet of space between each crib. Four cribs were observed close together in a row with three out of the four cribs being occupied by sleeping infants.

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

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: During the complaint investigation conducted 7/8/25, it was found that child #1 was seen at an urgent care physician's office to receive medical treatment for an injury that occurred at the facility during a fire evacuation. The operator did not telephone notice the appropriate regional office within 24 hours.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During the complaint investigation conducted 7/8/25, it was found that child #1 was seen at an urgent care physician's office to receive medical treatment to the foot for an injury that occurred at the facility during a fire evacuation.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During the complaint investigation conducted 5/7/25, it was found that staff person #1 was observed aggressively approaching staff person #2 and communicating in a harsh manner, in the presence of 5 pre-k children and one young toddler.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation conducted 4/8/25, it was found that staff are often on cell phones and not supervising children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During the complaint investigation conducted 4/8/25, it was found that, children are often strapped down in child size chairs with t-straps for extended times after am snack, lunch and pm snack.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.134(b)

Description: Towels labeled and laundered

Noncompliance Area: During the complaint investigation conducted 4/8/25, It was found that rags for cleaning surfaces and cleaning children were being used without being labeled. Cloth rags that are used for cleaning surfaces are also being used to wash children's hands and nose. The same rags are used for multiple purposes and are not labeled for use of specific children.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent.

Regulation: 3270.153

Description: Facility Person/Symptoms of Disease

Noncompliance Area: During the complaint investigation conducted 4/8/25, It was found that staff have been allowed to work while sick with a contagious illness while the facility was made aware.

Correction Required: A facility person with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall be excluded from attendance until the facility operator receives notification from a physician or CRNP that the person is no longer considered a threat to the health of others. The notification shall be retained in the facility person's file. Exclusion from the facility is required for diseases and conditions specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During the complaint investigation conducted 4/8/25, it was found that hot beverages are often left around classrooms where children have access to them.

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

Regulation: 3270.61(a)

Description: Indoor space- small muscle

Noncompliance Area: During the unannounced inspection conducted 4/8/2025, the third-floor school age childcare space was being utilized as a storage space. There were tools, boxes, shelves, large cushions, extra toys and a vacuum cleaner being stored.

Correction Required: A facility shall provide indoor child care space for individual and group small muscle activity.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the unannounced inspection conducted 4/8/2025, pot and pan sanitizer, re-Juv-Nal disinfect, and top clean soap were observed on a low shelf in the school age 3rd floor bathroom.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the unannounced inspection conducted 4/8/2025, the back hall space exit, before entering the preschool room was observed obstructed with boxes, plastic storage containers, a table, chairs, tarp and a garden wheelbarrow.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the renewal inspection conducted 9/16/2024 upon request, there was no evidence produced verifying that the facility tested their fire detection system every 30days.

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)).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first Aid-CPR

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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: File record for Staff #6 included Health assessment that did not include a ststement speaking to suitability and them being free from communicable disease

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File Record for Staff #3 did not include New Jersey Criminal History Request, New Jersey Sex Offender Registry Request, New Jersey Child Abuse and Neglect Registry or Mandated Reporter Training File Record for Staff #2 did not include PA State Police Clearance, PA child Abuse Clearance, DHs FBI Clearance and Mandated Reporter Training

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. 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: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Certification Representative observed a metal/steel post end protruding out of the ground in the outdoor playspace

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Certification Representative observed Play equipment in the outdoor playspace in need of cleaning

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Certification Representative observed a toilet in need of repair in the "One's" classroom

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

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: On date of Initial inspection, the Foundations cribs to be used by children according to the federal guidelines must be replaced by December-2012.

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. CORRECTION OF NON-COMPLIANCE IS REQUIRED PRIOR TO ISSUANCE OF A CERTIFICATE OF COMPLIANCE.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On date of Initial inspection, staff person #1 did not have a NSOR and an FBI Clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). CORRECTION OF NON-COMPLIANCE IS REQUIRED PRIOR TO ISSUANCE OF A CERTIFICATE OF COMPLIANCE.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: On date of Initial inspection, the fire detection system was not in compliance.

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)). CORRECTION OF NON-COMPLIANCE IS REQUIRED PRIOR TO ISSUANCE OF A CERTIFICATE OF COMPLIANCE.

Noncompliance Area: A staff forcefully pulled the child down the hallway by their arm and yanked them down to a sitting position.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: There was ratio non- compliance on 9/20/19 upon review of facility. There were eleven preschoolers being cared for by one staff. On a previous visit that took place on 8/26/19 there was ratio non compliance throughout the facility during the inspection. There were nine young toddlers and two older toddlers with one staff upon OCDEL arrival then. Multiple alternate staff went into the room to bring the room into compliance. There were eleven preschoolers and three young school age children present with one staff upon arrival on the second floor of the facility. Lastly, there were ten older toddler and one staff in the rear room at the completion of naptime. The staff attempted to lengthen naptime yet multiple children got up off their cots and walked around.

Correction Required: The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times.

Noncompliance Area: One staff supervised nine children in the yard, of which eight of those children were older toddlers and the other child in their arms was a younger toddler.

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).

Noncompliance Area: Peeling paint was present in the stairwell leading up steps between the second and third floors.

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

Noncompliance Area: Child required emergency medical care while in care at facility and Provider did not call the authorities or accompany child to hospital.

Correction Required: A staff person shall accompany a child to a source of emergency care and shall remain with the child until the parent assumes responsibility for the child's care.

Noncompliance Area: Child required emergency room treatment while in care at facility; provider did not contact regional office within 24 hours as required.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Noncompliance Area: The infants whom were napping did not have at least 2 feet of space as required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use at the time of the monitoring inspection.

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: A infant endured swollen eyes and a medical condition while in the care of staff whom did not monitor the situation ongoing throughout the day.

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.

Noncompliance Area: During the unannounced monitoring, OCDEL rep observed a preschool lick sunflower butter from a metal butter knife and place the knife back into the container. The container was then passed to a peer. The staff was alerted and a staff person swirled the knife around in the mixture and attempted to give the sunflower butter to other children so they could place some onto their apples for afternoon snack.

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. 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.

Noncompliance Area: Staff did not notify the parent as soon as possible while the child's health concerns progressed.

Correction Required: If a child becomes ill at the facility, the operator shall notify the child's parent as soon as possible.

Noncompliance Area: There was ratio non compliance throughout the facility during the inspection. There were nine young toddlers and two older toddlers with one staff upon OCDEL arrival. Multiple alternate staff went into the room to bring the room into compliance. There were eleven preschoolers and three young school age children present with one staff upon arrival on the second floor of the facility. Lastly, there were ten older toddler and one staff in the rear room at the completion of naptime. The staff attempted to lengthen naptime yet multiple children got up off their cots and walked around.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of two months after DHS approves the documentation format.

Noncompliance Area: During renewal inspection on 01/18/19, surface underneath mat on changing table in the Infant room was covered in debris and needed to be cleaned.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: During renewal inspection on 01/18/19, mats used as rest equipment in the 2nd floor classroom were ripped, and not labeled for individual 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.

Noncompliance Area: During renewal inspection on 01/18/19, refrigerator in the Toddlers room had spillage in the bottom and needed to be cleaned.

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.

Noncompliance Area: During renewal inspection on 01/18/19, written plan of daily activities was not present and posted on the 3rd floor.

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

Noncompliance Area: During renewal inspection on 01/18/19, agreement form on file for child #1 did not contain child's arrival and departure times.

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

Noncompliance Area: During renewal inspection on 01/18/19, date of admission was not present on agreement forms for child #1, #2, #3, #4, #5, #6 and #7.

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

Noncompliance Area: During renewal inspection on 01/18/19, emergency contact form on file for child #1 did not include child's name and date of birth.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: During renewal inspection on 01/18/19, emergency contact form on file for child #1, #2 and #7 did not include the name, address and/or phone number of child's physician and/or source of medical care, medical insurance and/or policy information.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: During renewal inspection on 01/18/19, emergency contact form on file for child #1 and #2 did not contain release person's name, address and/or phone number.

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: During renewal inspection on 01/18/19, emergency contact forms present in the child care spaces had not been updated as they had been in the master files.

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.If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: During renewal inspection on 01/18/19, file of child #1 and #2 did not contain a health report dated within 60 days of initial date of enrollment at the facility.

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

Noncompliance Area: During renewal inspection on 01/18/19, health report on file for child #7 was dated more than one year ago. Health report on file was dated 01/30/17.

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 01/18/19, TB test and subsequent results were not on file for staff person #1, hire date: 12/13/10.

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: During renewal inspection on 01/18/19, bananas, observed in the kitchen cabinet and were not being served on the day of inspection as a part of lunch or snack, were not refrigerated.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Noncompliance Area: During renewal inspection on 01/18/19, emergency contact and/or agreement forms on file had not been updated within a 6 month period for child #1, #2 and #7.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During renewal inspection on 01/18/19, file for staff person #9 did not have two written non family references on file attesting to staff persons suitability.

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 on 01/18/19, there was no evidence that emergency plan had been reviewed and/or updated annually.

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: During renewal inspection on 01/18/19, files of staff persons #1, #2, #3, #4, #5, #6, #7, and #8 did not contain verification that emergency plan training had been received within the last year.

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: During renewal inspection on 01/18/19, files of staff persons #1, #2, #4, #5, #6, and #8 did not contain verification that fire safety training had been received within the last year.

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: During renewal inspection on 01/18/19, file of staff person #3 did not contain verification of education to qualify for position performing (ASSISTANT GROUP SUPERVISOR).

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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: During renewal inspection on 01/18/19, first aid kits in the 3rd floor classroom, 2nd floor classroom, Toddler 1&2 room, and Infants room did not contain all required items. 3rd floor room was missing scissors/tweezers/gloves; 2nd floor room was missing tweezers/soap; Toddlers 1&2 room was missing tweezers; Infants room was missing gauze.

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 01/18/19, stained ceiling tile was observed in Toddler 1&2 room.

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: During renewal inspection on 01/18/19, hand washing signs stating that hands shall be washed before eating and after toileting were not present in the 3rd floor bathroom, 2nd floor classroom, and Toddlers 1&2.

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: During renewal inspection on 01/18/19, fire drills have not been held every 60 days as required. According to the fire drill log fire drills were held on 06/22/18, 09/27/18 and 12/18/18.

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: Child was put in time out for 1 hour and blanket and pillow were taken away during nap time by staff member #1.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Noncompliance Area: On 7/27/2018 the files for staff persons #1 and #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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, hired on 5/31/2018, did not have requests for the PA criminal history record, Child abuse Clearance and FBI Clearance information on file at the facility.

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.

Noncompliance Area: On 7/27/2018Peeling paint was observed in an area accessible to the children (lower portion of the classroom wall) in the two year old (DPS 2) .

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 operator reported On 6/29/2018, child #1 swallowed a penny while in care at the facility. Staff person #1 gave the penny to child #2. Child #2 gave the penny to child #1. Staff person #2 took the penny from the children and placed it on the desk/counter area. Child #1 found the penny and swallowed the penny.

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.