Bright Beginnings Child Care And Dev Center

Noncompliance Area: Observed a torn diaper changing pad. Observed in the outdoor play area, raised anchor spikes for the painting board and the jeep.

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: Observed a large strip of dirt in the outdoor play area used by toddlers, which had multiple small rocks with diameters of less than 1 inch which were accessible to the toddlers and children 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: Observed one of the two refrigerators used to store potentially hazardous food, did not have an operating thermometer.

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

Noncompliance Area: Observed child file #2 and #3 contained original agreements.

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

Noncompliance Area: Observed the emergency contact information for child #5, did not contain the address and telephone number of the individual designated by the parent to whom the child may be released.

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: Observed child file #2, who has been in attendance for more than 60 days, did not contain an initial health assessment.

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: Observed child file #1 and #2 did not contain written verification of ongoing vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #3 and #4 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed a bottle in the main refrigerator was not labeled with the child's name.

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

Noncompliance Area: On the date of inspection, it was observed that there was not an operable fire detection system because the smoke detector above the counter did not contain a battery and was disconnected from the interconnected system.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of Compliance with 34 Pa. Code 403.23 is required. Battery was placed in the smoke detector and the smoke detector was reattached to the interconnected system and tested. The system was then retested and was operable on this day.

Noncompliance Area: Observed staff file #1 and #6 contained documentation of initial training in the emergency plan which was completed more than 1 week after the staff's first day in a child care position.

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: Observed staff file #1, 2, 4, 5, 7, 9, 10, and 11 contained the CPSL required NSOR verification letter which was obtained after the 7/1/20 due date established by the CPSL. Observed staff file #8 and #12 did not contain a copy of the CPSL required NSOR verification letter which was obtained after the 7/1/20 due date established by the CPSL. Observed staff file #1 and #8, who have both been employed for more than 90 days, did not contain documentation of completion of the CPSL required mandated reporter training. Observed staff file #12 contained a mandated reporter training which has expired and is more than 60 months old. Observed staff file #11, contained all three required updated clearances which were obtained more than 60 months after the previous valid clearances. Observed staff file #12 contained a child abuse clearance which was obtained more than 60 months after the previous valid child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -8 and 12- may not work in a child care position at the facility until a copy of a valid NSOR verification letter is obtained.

Noncompliance Area: Observed 2 cans of paint, labeled keep out of the reach of children, in an unlocked stairwell next to the basement 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: Observed the facility did not have the emergency phone numbers posted by the telephone in the basement of the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Observed the furnace in the basement of the building, which was not accessible to children, had a detached front panel and a pair of toy pliers inside creating a visible 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: Observed the large blocks in the infant area had peeling covers and exposed foam and a swing rocker with a loose hanging cord. Observed a shelf in the toddler area which had a splintering edge. Observed a torn diaper changing pad in the toddler diapering area. Observed a broken toy bin in the downstairs gross motor area. Observed in the outdoor play area, rough edges on the elephant slide, damaged plastic with rough edges on the castle house, and damaged plastic with rough edges on the large dump truck sandbox. Observed standing water in 2 buckets under the outdoor ramp.

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: Observed plastic bags accessible to toddlers in a low storage bin in the toddler bathroom.

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: Observed child file #2 contained a most recent child service report dated 10/5/18. Observed child file #3, who has been in attendance for more than 6 months, did not contain a child service report.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Observed child file #2 and #3 contained original agreements.

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

Noncompliance Area: Observed child file #2, a young toddler, contained a most recent health assessment which was dated more than 11 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: Observed child file #4 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed children's Tylenol accessible to children in a backpack hanging on a low hook in the cubby area.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Observed staff file #5 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment. Observed staff file #1 contained an incomplete updated health assessment.

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: Observed the bottles in the infant refrigerator were not labeled with the child's name.

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

Noncompliance Area: Observed the facility did not have written notification of safe routes posted at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Observed child file #2 and #3 did not contain documentation of review of the emergency contact information within the previous 6 months. Observed the financial agreement for child #2 contained documentation of parental review which was obtained more than 6 months after the previous documented review.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: Observed a fan with a broken protective cover in the downstairs gross motor area.

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

Noncompliance Area: Observed staff file #4, did not contain documentation of training in the emergency plan at the time of initial hire.

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: Observed staff file #3 contained a written evaluation which was dated more than 12 months after staff #3 started working in a child care position.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Observed staff file #2 did not contain documentation of a high school diploma or GED certificate.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: Observed sunscreen, labeled harmful if swallowed, accessible to children in a low cubby be the entrance to the facility.

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: Observed the first aid kit in the toddler area did not contain scissors, tweezers, or soap.

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: Observed damaged/peeling paint by the baby swing and adult chair in the infant area.

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

Noncompliance Area: Observed there were no documented fire drills between 7/27/18 and 4/11/19 which is more than 60 days apart. Observed no documented fire drills between 4/11/19 and 8/20/19 which is more than 60 days apart.

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: Observed in the outdoor play area, a sand/water table had a broken top. Observed a detached slide support on an outdoor runner slide.

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: Observed multiple small particles, with a diameter of less than 1 inch, on the floor of the infant area.

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: Observed the infant refrigerator and the right refrigerator in the main room 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: Observed on 5/13/19 in the preschool area, Staff #3 and #4 stated they were responsible for a mixed age group of 15 preschool and school age children. At the time of the inspection staff # 4 was not interacting or supervising any of the children and was going around from area to area sweeping the floor. Staff #4 was asked to name the group of children she had specific responsibility for supervising she stated she was not sure. Staff #3 stated they are watching them all. Staff #4 was then asked to name the children and she could only name 4 of the 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. 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: Observed staff file #2, who was already providing initial service in a child care setting, did not contain a valid health assessment.

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: Observed the facility did not have a menu for the meals it serves to the children, for the week of 5/13/19 or the next week conspicuously posted.

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

Noncompliance Area: Observed a bottle of milk, on a blanket in the outdoor play area, which was not labeled with the child's name.

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

Noncompliance Area: Observed the legal entity did not have an individual record for facility person #3.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: Observed staff file #1, contained only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Observed staff file #2, did not contain any 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: Observed there was no documentation of staff #1 completing the CPSL required Mandated Reporter training.

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

Noncompliance Area: Based on information observed and statements obtained during the course of the investigation it was determined that staff #1, the director, was not working at the facility a minimum of 30 hours per week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: Observed on 5/7/19 in the outdoor play area, Staff #1 was responsible for 7 young toddlers while staff #2 was inside changing the diaper of an infant in their mixed age level group. Observed on 5/13/19 in the toddler area, Staff #2 state she was responsible for 2 young toddlers and 5 older toddlers.

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: Based on information obtained during the course of the investigation it was determined that on more than 1 occasion there was only one staff present at the facility when there were two or more children in care.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: Based on information and statements obtained during the course of the investigation, it was determined the facility staff were mopping with ammonia, while children were sleeping on cots in an area without adequate ventilation, which directly contradicts the manufacturers warning label. Observed diaper creams, which are labeled keep out of the reach of children, accessible to children in the unlocked toddler diaper changing table. Observed hardwood cleaner and Clorox, which are labeled keep out of the reach of children, accessible to children in the downstairs multipurpose room and 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.

Noncompliance Area: Observed a spray bottle of sanitizing solution on the food preparation counter.

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: Based on information and statements obtained during the course of the investigation, it was determined that during a cold weather period, the indoor heating temperature was set for 60 degrees which cause the facilities temperature to be less than 65 degrees.

Correction Required: The indoor temperature shall be at least 65 F.

Noncompliance Area: Observed exposed nail ends, on detached trim boards stacked on the outdoor ramp, posing a visible 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: Observed several spots of damaged/peeling paint between the 2 toddler areas of the main room.

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

Noncompliance Area: Observed a broken toy bin with rough edges in the preschool area. Observed in the indoor multipurpose room, a broken tricycle, a push cart with a missing handle, and a broken lego carrier with rough edges in the outdoor play area.

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: Observed inside a plastic bench in the cubby area used by infants through school age children, a bag of balloons labeled not for children under 8 years of age due to a choking hazard. Observed several spots of small stones with a diameter of less than 1 inch by the ramp leading to the outdoor play area used by 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: Observed child file #3, contained a most recent child service report which was dated more than 9 months ago.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Observed child file #1 and #4 did not contain the 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: Observed child file #4 did not contain the address of the individual designated by the parent to whom the child may be released.

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: Observed child file #2, an infant, contained a most recent health assessment which was dated more than 7 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: Observed several packets of triple antibiotic ointment in the preschool first aid kit which were not labeled with the name for whom it was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Observed staff file #2 which contained an incomplete initial health assessment and has been providing initial service in the child care setting for 3 months. Observed staff file #4 contained an initial health assessment which did not contain the results of tuberculosis screening by the Mantoux method within the previous 12 months prior to providing initial service in the child care setting.

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: Observed child file #1, 3, 4, and 5 contained documentation of parental review of the emergency contact information and the financial agreement which was obtained more than 6 months after the previously dated parental review.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: Observed child file #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: Observed staff file #1, contained documentation of completion of the CPSL required mandated reporter training which was completed more than 90 days after the first day working in a child care position. Observed staff file #3, contained an FBI clearance which was dated 8/21/13. The FBI clearance on the day of the inspection was no longer a valid clearance and an updated FBI clearance was not requested and received prior to the expiration of the previous valid clearance. Observed staff file #4, who had separated service from the facility and then rehired, did not contain an updated disclosure statement prior to their first day in a child care position after being rehired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -3- may not work in a child care position at the facility.

Noncompliance Area: Observed the facility did not have the emergency numbers posted by the telephone on a shelf near the preschool cozy area.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Observed a detached piece of laminate trim on the desk/ sign in table at the entrance to the facility. Observed the school age area of the multipurpose room needed to be clean to remove many pieces of ripped paper from the floor and to put a large amount of toys away to prevent a 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.

Noncompliance Area: Observed peeling paint on the wall next to the door of the preschool bathroom. Observed damaged paint and paint flakes on the floor behind the diaper trash can in the toddler diaper changing area.

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

Noncompliance Area: Observed 7 infants in the infant area, however the area only contained labeled rest equipment for 5 infants. Staff stated they would change the sheets and sanitize the rest equipment prior to another child using the rest equipment however they stated there was no labeled rest equipment for 2 of the infants.

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: Observed staff #1 and #2 enter the building from the play area, supervising a mixed age group of 8 school age children and 14 preschool children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The department will verify ongoing compliance through multiple onsite inspections.

Noncompliance Area: Observed a peeling cover and exposed foam on a high chair in the young toddler area.

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: ** Observed staff #1 at 11:05am on 2/26/18, who was working in the infant area, could not name one of the 3 infants for which she was responsible for supervising.

Correction Required: 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training in regard to supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of the training must be kept in a file at the facility and the training will not count toward the annual 6 clock hours of child care training. DHS will confirm continuing compliance through multiple site visits.

Noncompliance Area: ** Based on interviews and information obtained during the course of the investigation, it was determined that a staff person intervened while a child was trying to kick another child, by pulling the child 3-4 feet across the floor.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. All facility staff to complete 2 hours of training in regard to dealing with children with challenging behavior. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of the training must be kept in a file at the facility and the training will not count toward the annual 6 clock hours of child care training. DHS will confirm continuing compliance through multiple site visits.

Noncompliance Area: ** Based on the information observed and obtained during the course of the investigation, it was determined that the written incident report for an incident was not accurate and the parent was not given the original report on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. The director to hold a staff meeting to review the incident and the written incident report with all current staff members. The director to implement a program policy that requires 2 staff members to sign an incident report to ensure accuracy in reporting an incident. Documentation of the staff meeting must be kept in a file at the facility.

Noncompliance Area: Based on information obtained during the course of the investigation, it was determined that the operator did not report an incident between a staff and child which resulted in an injury.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.

Noncompliance Area: Observed a spray bottle of disinfecting cleaner accessible to children on a low counter. Observed ice melt labeled keep out of the reach of children in a bucket in the cubby area by the entrance door.

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: Observed a detached piece of a wooden floor vent in the preschool area.

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: Observed a trash can which did not have a lid, by the sink in the food prep area.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: Observed in the infant area a barrier wall with a splintering edge and a peeling cover on the high chair. Observed in the toddler area a pillow with exposed lining, a torn diaper changing pad, exposed foam on the high chairs, and peeling tape on a barrier wall. Observed in the preschool area a broken toy bin and 2 broken toy bins by the curtains. Observed a torn plastic sand table cover. Observed in the outside play area a riding toy with no handle and cracked seat area on the plastic picnic table creating pinch points.

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: Observed small pieces, less than an inch in diameter, of double sided tape and string accessible to crawling infants in the infant area. Observed plastic bags accessible to toddlers in the open trash can in the bathroom used by the toddlers. Observed plastic bags between the washer and dryer in the downstairs child care area accessible to toddlers when the toddlers use the downstairs child care space/play area. Observed in the preschool/older toddler area a small broken piece of plastic and a small round object with a diameter of less than 1 inch.

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: Observed the emergency contact information for child file #1 did not contain the address of the release person.

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: Observed the initial health assessment for child #2 was dated more than 60 days following the first day of attendance at the facility. Observed child #3, a preschool child, contained a most recent health assessment which was dated more than 12 months ago.

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.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: Observed a prescription ventolin inhaler in the toddler area which did not contain instructions from the individual who prescribed the medication. Observed equate ibuprophen in the infant area which was not labeled with the name of the child for whom the medication was intended.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Observed staff file #5 contained an initial health assessment which was dated more than 12 months prior to providing initial service in a child care setting.

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: Observed bottles in the infant area which were not labeled with the child's name.

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

Noncompliance Area: Observed staff files #3, #4, and #6 did not contain documentation of training in the emergency plan within the first week after initial service in a child care position.

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: Observed staff files #1 and #2 did not contain documentation of fire safety training completed within the previous 12 months.

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: Observed staff file #3 contained a volunteer child abuse clearance which is not valid for employment purposes. Observed staff file #5, a provisional hire, did not contain documentation of application for the child abuse clearance or an FBI fingerprint submitted receipt dated prior to or on the date of initial service in a child care position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -3 and 5- may not work in a child care position at the facility.

Noncompliance Area: Observed laundry detergent labeled"Keep out of the reach of children" accessible to children on a washing machine in the downstairs child care space.

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: Observed the downstairs child care space did not have a first-aid kit.

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

Noncompliance Area: Observed frayed carpet edges which were a visible hazard in the toddler area. Observed the downstairs child care space which had several areas that had items stacked on other items creating a visible hazard for the children using the space.

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

Noncompliance Area: Observed the infant changing area did not have a source of running water.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: Observed in the preschool area three damaged toy bins with rough edges, missing and loose support screws on a wooden lakeshore table, and a torn bean bag cover, Observed in the cubbie area, 2 benches which needed to be cleaned. Observed in the infant area large foam blocks which had peeling covers. Observed in the toddler bathroom, 2 damaged clothing bins. Observed in the toddler area exposed foam on the seat of an adult chair, shelves to a wooden case which could be pulled out creating an injury hazard, and damage/cracks with rough edges to the plastic top of 2 gates. Observed 2 tall shelves in the downstairs play area which were not securely anchored to the wall and a metal tricycle which was missing a pedal. Observed exposed bolts on the toilet in the downstairs bathroom used by children and at several spots on the outdoor play area fence. Observed detached/broken fence support straps with rough edges. Observed cracked plastic with rough edges on a play house and a play castle in the outdoor play area. Observed a broken plastic wheelbarrow in the outdoor sandbox.

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: Observed multiple bite marks on the foam blocks in the preschool area which showed a child in that area was still placing objects in their mouth. Observed loose staples on a low cork board in the preschool area 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: Observed child file #1, who has been in attendance for more than 60 days, did not contain an initial health assessment. Observed child file #2, contained an updated health assessment which was dated more than 16 months after the initial health assessment at the time the child was a young toddler.

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.The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: Observed the medication log for child #3 did not contain the name of the medication.

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: Observed staff file #3 contained an incomplete initial health assessment at the time of initial service in the child care setting. Observed staff file #7, #8, #9, and #10 contained updated health assessments which were dated more than 24 months after the previous health assessment.

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: Observed children's files #3 and #4 did not contain documentation of parental review of the agreement form at least every 6 months.

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

Noncompliance Area: Observed an original incident report, from a day prior ro the inspection, in a filing bin at the facility. The original incident report should have been given to the parent on the day of the incident.

Correction Required: A child`s record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child`s file.

Noncompliance Area: Observed staff files #2, #3, and #5 did not contain two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person. Observed staff file #6 contained only one 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: Observed the operator did not submit a copy of the completed emergency plan to the county emergency management agency.

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

Noncompliance Area: Observed staff file #2, a provisional hire, did not contain an FBI fingerprint submitted receipt dated prior to or on the date of initial service in a child care position. Observed staff file #4, a provisional hire, did not contain a copy of the application or confirmation of applying for the child abuse clearance dated prior to or on the date of initial service in a child care position. Observed staff file #6, contained a volunteer child abuse clearance which is not acceptable for postions of employment within a child care facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -6- may not work in a child care position at the facility until valid clearances are obtained.

Noncompliance Area: Observed staff files #1 and #4, who have been employed for more than 12 months, did not contain a written evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.