Kreation Place

Noncompliance Area: During renewal inspection, admission date was not present on agreement forms for child #1 and #2

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

Noncompliance Area: During renewal inspection, emergency contact form for child #2 did not contain release person's address.

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 the renewal inspection child #1-3 did not have a complete current health assessment on file.

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 the renewal inspection staff #1 did 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.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.

Noncompliance Area: During the renewal inspection staff #1 and 2 record did not include the name, address and telephone number in the file.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Noncompliance Area: During the renewal inspection staff #2 file did not include verification of child care experience.

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

Noncompliance Area: During the renewal inspection staff #2 file did not include two written non family references.

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 the renewal inspection staff #2 did not have first-aid training on file.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: During the allocated inspection there was an infant was sleeping in a pack-n-play that was not labeled with that specific child's name. While the child was napping in the pack-n-play it was not 2 feet apart on three sides.

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.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: During the allocated inspection there were 7 children of mixed age in the second classroom with the youngest child an infant with two teachers. One of the teachers left the classroom to put the ketchup in the kitchen leaving only 1 teacher with 7 children briefly.

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: During the allocated inspection volunteer staff #1 did not have a 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.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.

Noncompliance Area: During the allocated inspection volunteer staff #1 did not have a file and two non-family references on file.

Correction Required: An individual record is required for each facility person.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 the allocated inspection staff person #1 did not have a all required clearances on file to be a volunteer. The staff person only had the state police clearance on file.

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

Noncompliance Area: During the allocated inspection in the front classroom there were 2 electrical outlets without the protective receptacle covers on them.

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

Noncompliance Area: During the allocated inspection the bathroom door was not clean and there was peeling paint to various walls in the 2nd classroom.

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.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed staff 3 did not know the names and whereabouts of the children in her assigned group.

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.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed the files for children 2, 5, 6, 7 & 10 lacked a copy of the financial agreement signed by the operator and the parent.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f).

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed emergency contact form for child 6 lacked the telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed the emergency contact form for child 3 lacked the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact forms in the files of children 2, 3, 5, 6 & 7 lacked the address of the individual designated by the parent to whom the child may be released. The emergency contact form in the file of child 10 lacked the telephone number of the individual designated by the parent to whom the child may be released.

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. 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 5/24/18, cert rep observed the health assessment for child 3 was dated 6/20/16. This date exceeds the requirement of the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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 5/24/18, cert rep observed facility lacked documentation of liability insurance. A current copy of the insurance policy was not viewed during the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed enrolled child 11 lacked an individual record file.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed emergency contact forms and financial agreement forms in files for children 1, 4 , 5, 8 & 10 lacked the review and update of the emergency contact information and children 1, 2, 3, 4 , 5, 8 & 10 lacked the review and update on the financial agreement form at least once in a 6-month period or as soon as there is a change in the information.

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 5/24/18, cert rep observed the file for staff 3 lacked a copy of verification of age and identification including the name and address.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed the files for staff 1 and staff 3 lacked the documentation of mandated reporter training.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed the emergency plan was not posted in a conspicuous location.

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

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed the first aid training documentation for staff 2 expired in 2013.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed the files for staff 1 & staff 3 lacked mandated reported training. The file for staff 3 lacked the documentation for child abuse clearance and for health and safety training.

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

Noncompliance Area: During renewal inspection on 5/24/18, cert rep measured temperature of hot water in the bathroom sink used by children at 144 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: During renewal inspection on 5/24/18, cert rep observed the door frame to the bathroom used by children was loose on the right side and a person could insert his or her fingers or hand in between the door stop and the wood frame of the doorway.

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 rest mats were not labeled for the use of a specific 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: The staff were not able to name the specific children they are assigned the responsibility for supervision.

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.

Noncompliance Area: The operator did not have a veterinarian`s certificate of current rabies immunization for the dog living in the home and observed around the children.

Correction Required: A veterinarian`s certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: The operator did not have an agreement with the parents of child #1 and 4.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The emergency contact information for child #1 did not include the address of the child's doctor.

Correction Required: Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care.

Noncompliance Area: The emergency contact information for child #1-4 did not include the parent's work address and phone number.

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

Noncompliance Area: The emergency contact information for child #1, 3 and 4 did not include the health insurance coverage and/or policy number for the child.

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

Noncompliance Area: The emergency contact information for child #3 did not include 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: A written plan identifying the means of transporting a child to emergency care and staffing provision was not posted.

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

Noncompliance Area: Child #3, enrolled 1/19/17, did not have a health assessment in their record.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Noncompliance Area: Child #2, a young toddler, did not have an updated health assessment in their record. The last health assessment in child's record is dated 6/30/16.

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: Child #3 did not have an immunization record, as part of a health assessmen,t in their record.

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

Noncompliance Area: Staff person #2 did not have an updated health assessment in their record. The last health assessment was 4/13/15. Staff person #3, hired 5/2017, did not have a health assessment in their record.

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: Staff person #3, hired 5/2017, did not have a TB screening.

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: The operator did not have a written statement from the parent of child #1 giving the child's formula and feeding schedule.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The safe route notification was not posted.

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

Noncompliance Area: Staff person #3 did not have verification of prior child care experience and eduction in their record.

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

Noncompliance Area: Staff person #3 did not have two written references in their record.

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 did not have a signed disclosure statement in their record. The household member, staff person #1's husband, does not have a Child Abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The first-aid kit was missing tweezers.

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: Trash was observed on the ground of the outdoor play space. The ground carpeting was not secure on the ground.

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: A stroller was observed laying on the steps in the outdoor play space, the steps leading down into the play space, blocking the exit.

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

Noncompliance Area: There is no verification that drills are being conducted at least every 60 days. The last drill documented on the fire drill log is dated 7/2016.

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

Noncompliance Area: Written documentation is not being kept of drills conducted. The last drill documented on the fire drill log is dated 7/2016.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.