Kindercare Learning Centers

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The child's coach located in Discovery Pre School (DPS) was observed with worn and cracked areas along the seams.

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

Regulation: 3270.106(a)/3270.111(c)

Description: Clean, age appropriate/Promote development

Noncompliance Area: The nap mats #2-18 were observed to have worn and cracked corners.

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. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(a)/3270.134(a)

Description: Supervised at all times /Child's hands washed

Noncompliance Area: Certification Representative observed a child going into the bathroom adjacent to the Preschool room. Staff #2 and staff #3 were observing 2 groups of children and not all the children in the room. When the child emerged from the bathroom, the child did not wash their hands. Child was stopped by Certification Representative and child was asked to go back into the bathroom to wash their hands.

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. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Certification Representative observed staff #1 point their finger at a 2 yrs old child and said to child "No Bite." Staff #4 shook their finger at the child and said, "we don't bite our friends." Staff #4 used a harsh and demeaning tone as they redirected the child.

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

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Staff #4 does not have a current health assessment on file.

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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: An updated copy of the Emergency plan was not sent to the local municipality and county emergency management.

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(c)

Description: Toxic use- no contamination

Noncompliance Area: In the kitchen, a bottle of soapy water and sanitizer were observed on a counter, where food is prepared. the bottles were next to measuring cups that are used to serve food to the children. ***CORRECTED UPON CITE***

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The carpets in booth the Pre K room and the Preschool room were observed to have paper, mulch and other debris in the carpet. When asked how often the carpets were vacuumed, a staff member stated 1-2 times a week. Two floor tiles at the entrance door into the child care center were broken and ruts gouged into the floor. The pour and play surface located in the toddler's playground was splitting at the seams and crumbling at the edges where the pour and play met the lawn. A garbage bag that contained pumpkins and gourds were located on the back porch were children exit to use the plaground . ***CORRECTED UPON CITE>***

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The paint on the 2 windowsills and the wall located between the windowsill located in DPS were observed to be chipped.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet and sink located in the bathroom adjacent to the Preschool room was observed to have dust and dirt located on the toilet and the sink areas. It appears as the toilet and sink were not cleaned on a regular basis.

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

Regulation: 3270.111(c)/3270.113(d)

Description: Promote development/No harsh language

Noncompliance Area: Staff person #1 has been observed speaking to children in a manner described as "harsh", "inappropriate" "abusive", "belittling" as well as "pessimistic." Staff person #1 was observed telling the children they are "bad". Staff person #1 has told the young and older toddlers they are a "bully" and has said to preschool age children "if a friend jumped off a bridge would you do it too?" in regard to choices made. Staff person #1 has said about one child, "She's just spoiled", "Do I need to put her over my knee?" When told a child doesn't like to be touched staff person #1 said "She's going to have to get over it real quick." During naps, staff person #1 was heard using a loud harsh tone telling children to "get up now" (from nap) to get into line and has been witnessed to yell at the children during nap time to lay down when the children asked to use the bathroom.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The nap mats located in PreK A were observed to be frayed and worn on =each of the 4 corners. The toilet located in the Preschool room bathroom was observed to have rust along the base of the toilet and in the bowl of the toilet. The screws that fasten the toilet to the floor were rusty and exposed as the caps that cover the screws were missing. The toilet located in Pod B was found to be rusty on the inside of the bowl. The screws that fasten the toilet to the floor were rusty and exposed as the caps that cover the screws were missing. The toilet located in PreK B was observed the inside of the bowl to be rusty and black. The screws that fasten the toilet to the floor were rusty and exposed as the caps that cover the screws were missing.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection the bathroom walls in the Preschool bathroom was observed with streak marks behind the toilet from water. The wall behind the toilet appeared to be warped from water. The floor tiles around the toilet were broken and the subfloor could be seen around the toilet. The lighting was dim in the bathroom. The bathroom in In Toddler B has scuff and water marks on the walls and the bathroom lighting was observed to be dim. The Bathroom in Pre-K B was observed to have scuff marks and water marks on the wall. The bathroom lighting was observed to be dim. The Bathroom in Pre-K B was observed to have warped floor tiles around the toilet, a substance was observed behind the toilet but unable to identify during inspection due to dim lighting. The walls were scuffed and water marked. The Discovery Room Preschool bathroom walls were observed to be scuffed and water marked. The transition strip that separates the carpet and tile floor was observed to be placed on the carpet. The area between the capet and the tile, was observed to be caked with dirt and debris.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the inspection, the window frames and windowsills located in Toddler A, Toddler B, Infants, Discovery PS, Preschool, Pre-K A, and Pre-K B rooms were observed to have chipped paint. The half wall that divides Toddler A and Toddler B were observed to have chipped paint on the top ledge of the wall and the wall itself.

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(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The playground did not have 9 inches of mulch around the embedded slide and climbing apparatus.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement on file for child #1 was not updated within a 6-month period between 8/2/22 and 8/16/23. The agreement on file for child #2 was not updated within a 6-month period between 8/30/22 and 8/1/23.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The changing table/sink combination located in the older toddler care area, released a malodorous smell in the room and made a loud grinding noise when the water was not running. The bins mounted on the wall in the younger toddlers' care area is low and diaper wipes were accessible to children. A tape dispenser was observed in the young toddler child care area (CORREECTED UPON CITE). The walls located in the far left corner of the youg toddler care space has a sticky substance on the wall that does not come off. The fence that separates the two playgrounds has an approx. 5-inch ga between the fence post and the porch.

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: 3270.102(e)/3270.103

Description: Infant/toddler - no material less than 1 inch/Small Toys and Objects

Noncompliance Area: Mulch was observed along the edge of the toddler playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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: 3270.106(a)/3270.106(b)

Description: Clean, age appropriate/No bed linens alone

Noncompliance Area: Preschool aged children were observed sleeping on the floor with just blankets.

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. Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child 1 did not include the enrolling parent's work telephone number.

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

Regulation: 3270.131(e)(1)/3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for child 1 was not in accordance with the ACIP guidelines (no documentation of Hepatitis A, nor annual influenza vaccine). The record did not include an exemption notes.

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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A staff person was observed placing a soiled diaper onto the ground in the bathroom while changing a toddler, as the area was not equipped with a hands-free diaper trash can. (CORRECTED ON SITE)

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: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The most recent health assessment on file for staff person 1 was no longer valid (dated 5/3/2019).

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The emergency plan information given to parents at the time of enrollment does not explain the emergency procedures as described in subsection A.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). (1) Shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. (2) Evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3270.94 (relating to fire drills). (3) A method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. (4) 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. (5) Accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. (6) Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety 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). (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 9) within 90 days of hire. Staff person #2 will have until 1/26/22 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The child abuse, FBI, and PA state police clearances on file for staff person 3 expired in January of 2022. The updated clearances were not obtained until March of 2022. The mandated reporter trainings on file for staff person 4 were dated 9/29/2015, and subsequently 10/23/22. The updated was not on file within 60 months.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An uncovered electrical outlet was observed in an area accessible to toddlers. (CORRECTED ON SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the transitional Kindergarten room did not contain tweezers. (CORRECTED ON SITE)

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: An area of dirt near the edge of the surfacing on the toddler playground had worn away, creating a sudden dip (tripping hazard).

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility was unable to provide documentation that the fire detection system had been manually tested at least once every 30 days prior to 7/29/22.

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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.111(c)/3270.113(b)

Description: Promote development/No physical punishment

Noncompliance Area: On 10/17/22, a staff member witnessed staff member #1 handle child #1 by grabbing the child by the arm, lifting child #1 up so the staff member and the child were face to face. Staff member told child "No" about the child's behaviors, and laid child on a cot. By picking child #1 face to face caused child to cry.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Facility staff #4 does not have on file verification of education.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Facility person #1 does not have on file a health assessment. Facility person #3 does not have a health assessment or results of a TB test.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility person #2 does not have 2 references on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person #1 was hired on 6/14/21. The file for facility person # 1 does not contain a completed out of state child abuse clearance. Although the LE has an approved waiver on file effective 1/30/20, the requirement to have the completed out of state clearance on file was not met. Facility person #2 was hired on 8/11/21. The file for facility person # 2 does not contain a child abuse clearance.. Although the LE has an approved waiver on file effective 1/30/20, the requirement to have the child abuse clearance on file was not met.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: On 03/03/20, the facility made a self report of non compliance as to the following:. On 2/28/20, child # 1 had an accident (Diarrhea) and required to be cleaned up and clothes changed. As child was naked during changing, staff #1 stated, twice, "Looks like he is off the boat." In front of other staff. Staff #2 repeated "Did you hear what she said? He's off the boat." Child #1 is an African American child. Comment was made in front of the child and all children in the room.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Noncompliance Area: On 03/03/20, the facility made a self report of non compliance as to the following:. On 2/28/20, child # 1 had an accident (Diarrhea) and required to be cleaned up and clothes changed. As child was naked during changing, staff #1 stated, twice, "Looks like he is off the boat." In front of other staff. Staff #2 repeated "Did you hear what she said? He's off the boat." Child #1 is an African American child. Comment was made in front of the child and all children in the room.

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

Noncompliance Area: Staff #1 is designated as the facility's director. Staff #1 did not have on file documentation of 1 year experience of child care experience prior to service at the facility.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Emergency contact information for child #4 does not include the policy number for a child under a family policy or Medical Assistance benefits.

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: A parent has not been required to review and update the emergency contact information and the financial agreement at least once in a 6-month period. Child #1's financial agreement was last updated 10/14/2018, child #2's financial agreement was last updated 1/16/2019 and the emergency contact form went from 1/16/2019 to 1/15/2020 until it was updated, child #3 the financial agreement was last updated 7/20/2019; all of which are longer than 6 months.

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: Child #2's record does not contain signed parental consent for emergency medical care for the child. The child's admission date was 1/21/2019.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Child #1 & 2's record does not contain signed parental consent for administration of minor first-aid procedures by facility staff. Child #1's admission date is 10/14/2018 and child #2's admission date is 1/21/2019.

Correction Required: 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: Child #2's record does not contain signed parental consent for transportation or walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The operator is not in compliance with the CPSL as staff person #1 has a volunteer Child Abuse clearance which is not valid for the purpose of employment. Staff person #3 had a lapse in having valid clearances on file as the State Police Clearances on file are dated 1/27/2014 and 2/4/2020, the Child Abuse Clearances are dated 1/31/2014 and 2/4/2020 and the FBI clearance is dated 3/8/2014 and 2/8/202; all of which are beyond 5 years (60 months) and does not meet the CPSL requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: It was observed the first-aid kit in the Pre-K A classroom did not contain soap. (CORRECTED ON SITE)

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: It was observed the dry erase board mounted on the wooden fence by the door to the building on the preschool side of the playground has two (2) rusty screws that are raised and not flush with the board posing a potential hazard.

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: The facility self-reported that child #1 eloped from the Preschool Classroom on 8/5/2019 at approximately 7:25am. Staff person #1 was assigned the responsibility for supervision of child #1 at the time of incident and did not know his whereabouts until she saw him standing on the outside of the building looking in the Preschool Room window. It is estimated that the child was unsupervised and whereabouts unknown for approximately one (1) minute.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: It was observed in the Two Year Old Room a protective receptacle cover was not placed in an electrical outlet above where the dolls were being stored and was accessible to children younger than age 5 years. (CORRECTED ON SITE)

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

Noncompliance Area: It was observed in the Two Year Room a large water stain was on the ceiling above the changing area and a medium size water stain was observed on the ceiling above the clock in the School-Age 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: The operator self reported that a group of six (6) school-aged children were left unsupervised for an undetermined period of time (approximately 10 - 30 seconds) when staff member #1 & 2 both walked out of the classroom at the same time leaving the children alone in the room without a staff member being present.

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.

Noncompliance Area: It was observed on the Toddler playground area numerous pieces of woodchips, which have a diameter of less than 1 inch were scattered across the playing area and therefore accessible to children who are still 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: It was observed in the 3 year old room and the Pre-K room the rest equipment was not labeled for the use of a specific child and was not being used only by the specified child.

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

Noncompliance Area: An initial health report was not on file for child #1 who has an enrollment date of 7/18/2018, which is later than 60 days following the first day of attendance 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.

Noncompliance Area: Facility person #1 who comes into contact with the children has a health report dated 10/5/2016, facility person # 2 who comes into contact with the children has a health report dated 6/22/2016 and facility person #3 who comes into contact with the children has a health report dated 8/25/2016, all of which are later than 24 months and are no longer valid.

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 operator has not 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. (CORRECTED ON SITE)

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: It was observed in the school-age room a box of Borax and a bottle of Rubbing Alcohol, both labeled "Keep Out of Reach of Children" and considered to be a toxic material were accessible to children. (CORRECTED ON SITE)

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: The first-aid kit in the 2 year old room did not contain soap, the first-aid kit in the 3 year old room did not contain tape, the first-aid kit in the blended group Preschool room did not contain nonporous gloves and the first -aid kits in both vans did not contain tweezers. (ALL CORRECTED ON SITE)

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.A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: Staff #1 was witnessed dropping children onto the changing table or nap mats, pushing the children's heads to the nap mats, and tossing children into chairs "like a rag doll."

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

Noncompliance Area: On water days, staff #1 sprayed the toddlers with the hose or dropped the toddlers into the water table to make the them cry. If the toddlers tried to run away from staff #1, staff #1 would seek out the toddlers and dropped them into the water tables to make toddlers cry.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Noncompliance Area: Staff #1 was observed to take her finger(s) and push child #1 on the forehead. Child #1 fell to the ground.

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