LEADERS OF OUR FUTURE 3

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. The CPSL requires any staff that have lived in other states within the previous 5 years of their hire date to have the clearances of that/those state(s). The file of Staff #1 indicated this staff has lived out of state within the previous 5 years of their hire date and at the time of this inspection, the clearances of that state were not in the staff's file. Staff #1 was observed working in child care at the time of this inspection.

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 #1 may not work in a child care position with direct contact and routine interaction with children at the facility until all clearances and out of state clearances are on file at the facility.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: The emergency contact form in the emergency binder of the older toddler classroom was not updated in over 6 months for child # 1. The last update on the form for child # 1 is from 10/24/23.

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

Regulation: 3270.132(b)

Description: Staff person accompany child

Noncompliance Area: During an incident investigation on 5/6/24, facility director reported to certification representative that an emergency incident occurred on 4/12/24 requiring child # 1 to be taken to the emergency room because child # 1 was taking a seizure. Child # 1 was not released to a parent or guardian and was not escorted to the emergency room by facility staff. Facility staff # 1 released the child to the EMT's in the ambulance who stated it was ok.

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

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: During an incident investigation on 5/6/24, facility director reported to certification representative that an emergency incident was not reported to the regional office for more than 24 hours. The incident occurred on 4/12/24 at 2:11 PM and the regional office was notified on 4/15/24.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the inspection, child #1 did not have an annual influenza vaccine on file or an exemption letter written by the parent for the influenza vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business 5/2/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the inspection, on staff person #1's health assessment, it did not include an examination of communicable diseases and the results of the examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.76/3270.102(e)

Description: Building Surfaces/Infant/toddler - no material less than 1 inch

Noncompliance Area: During the renewal inspection, the walkway leading to the toddler playground had exposed tree roots posing a tripping hazard. On this same walkway and toddler playground, rubber mulch with less than a diameter of 1 inch was observed. The rubber mulch was coming through the fence from the preschool playground. This poses a hazard to infants and toddlers on the toddler playground.

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. 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.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During the unannounced inspection, the health assessment on file for staff #1 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide childcare.

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

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: During the unannounced inspection, the last documented manual monthly monitoring of the fire detection system was last recorded as 11/3/22 and not within the 30 day monitoring requirement.

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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During an onsite inspection on 7/20/22, the operator did not have practice drills and volunteer emergency preparedness training in the emergency plan. The operator was not in compliance with federal requirements at 45 CFR § 98.41(a)(1)(vii) relating to health and safety requirements.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. To maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During an onsite inspection on 7/20/22, staff person #1, a provisional hire, was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 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 person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Regulation: 3270.33(a)/3270.36(b)(5)

Description: Each staff person meets quals/HS/GED + 2 yrs

Noncompliance Area: During an onsite inspection on 7/20/22, staff #5 did not have education on file to be qualified as a staff person.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 5/17/22, there was no documentation of an emergency drill occurring annually at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 5/17/22, the operator did not have verification that the emergency plan was sent to the local municipality for review.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite inspection on 5/17/22, the certification representative reviewed the file of staff #1. Staff #1 had a PA State Police clearance on file date 5/10/22. The previous PA State Police clearance on file was dated 12/15/16 and therefore expired on 12/15/21. This shows approximately a 5 month timeframe of when staff #1 did not have a current PA 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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months.

Noncompliance Area: Child 1 had a fee agreement from 2018 in her file. No other fee agreements were observed.

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 the annual inspection on 9/5/2019, it was observed on two different occasions that a child went to the bathroom unescorted. Both children left from the kindergarten room but were of preschool age. The children were unsupervised in the bathroom for 1-2 minutes. The bathroom is next to the classroom but staff were not able to see or hear the children from the bathroom. When staff 4 was asked who the first child was that went to the bathroom, she could not identify the child's name. During a verification visit on 10/21/2019, it was observed that staff 4 still did not take the required supervision training.

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. All staff will take a training through Better Kid Care called "Supervision: What's Required."

Noncompliance Area: During the facility annual renewal visit on 9/5/2019, child 1 had an outdated child service report dated 3/1/2017. Child 2 had an outdated child service report dated 3/6/2017. Child 3 did not have a child service report on file and her date of admission is 8/1/2017. During a verification visit, it was observed that child 1 and 2 still did not have an updated child service report on file, nor was there a date of withdrawal on file. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

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: During the annual renewal on 9/5/2019, child 1 did not have an emergency contact form on file. His date of admission was 5/28/2019. During a verification visit on 10/21/2019, child 1 still did not have an emergency contact form on file or a withdrawal date. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: During the facility's annual renewal visit on 9/5/2019, children 1, 2, 3 and 5 had outdated emergency forms and fee agreements. All emergency contact forms and fee agreements were updated on 1/2/2019. During a verification visit on 10/21/2019, the facility was not able to produce updated emergency forms or fee agreements for children 1, 2, 3 and 5. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

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

Noncompliance Area: During the facility's annual renewal visit on 9/5/2019, child 4 did not have an updated health assessment on file. The health assessment that was on file was not dated. The health assessment that was on file was not signed or dated by a physician, physician's assistant or a CRNP. During a verification visit on 10/21/2019, the facility was not able to produce an updated health assessment signed by a CRNP, physician or physician's assistant. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: During the facility's annual renewal visit on 9/5/2019, Child 1 a preschool child and last had a health assessment dated 5/1/2018. It was found that child 1 needs an updated flu shot. Child 2, who is an older toddler, last had his health assessment completed on 8/21/2018. It was also found that child 2 needs an updated flu shot. Child 4 also needs an updated immunization record. The following immunizations are needed: rotavirus shot, two shots of the DTAP vaccine, another shot of the HiB vaccine; two shots of PCV 13 and one more shot of the IPV. During a verification visit on 10/21/2019, the facility was not able to produce an updated health assessment and immunizations for child 1. For child 4, the facility was still not able to produce an updated immunization record. As per facility, the children files were not able to be accessed due to the key to the children's files being missing.

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.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: During the annual inspection on 9/5/2019, it was observed that staff 1, 2, 3 and 4 did not have updated fire safety training. Staff 1 last had it on 2/24/2017, staff 3 last had it on 9/7/2017 and staff 4 last had it on 2/24/2017. Staff 2 did not have any fire safety training on file and she began working at the facility on 8/28/2017. During a verification visit on 10/21/2019, it was observed that staff 1-4 still did not have updated fire safety training on file.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: During the annual renewal on 9/5/2019, the pre-k room, preschool room, office hallway and the room next to preschool all had missing outlet covers. During a verification visit, there was still 2 missing outlet covers missing from the office hallway. Children have access to the office hallway.

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

Noncompliance Area: In the toddler room, as per staff, cots were not labeled correctly.

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: In the refrigerator, there was bagged salad that was brown, showing that it was spoiled. The refrigerator also had brown dried liquid on the bottom of it and needed to be cleaned.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: In the preschool room, there was no daily schedule posted.

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

Noncompliance Area: During the annual inspection on 9/5/2019, it was observed on two different occasions that a child went to the bathroom unescorted. Both children left from the kindergarten room but were of preschool age. The children were unsupervised in the bathroom for 1-2 minutes. The bathroom is next to the classroom but staff were not able to see or hear the children from the bathroom. When staff 4 was asked who the first child was that went to the bathroom, she could not identify the child's name.

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: Child 1 had an outdated child service report dated 3/1/2017. Child 2 had an outdated child service report dated 3/6/2017. Child 3 did not have a child service report on file and her date of admission is 8/1/2017.

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: Child 1 did not have an emergency contact form on file. His date of admission is 5/28/2019.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Children 1, 2, 3 and 5 had outdated emergency contact forms and fee agreements. All emergency contact forms and fee agreements were updated on 1/2/2019.

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

Noncompliance Area: Child 4 did not have an updated health assessment on file. The health assessment that was on file, was not dated. The health assessment that was on file was not signed or dated by a physician, physician's assistant or a CRNP.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: Child 1 a preschool child and last had a health assessment dated 5/1/2018. It was found that child 1 needs an updated flu shot. Child 2, who is an older toddler, last had his health assessment completed on 8/21/2018. It was also found that child 2 needs an updated flu shot. Child 4 also needs an updated immunization record. The following immunizations are needed: rotavirus shot, two shots of the DTAP vaccine, another shot of the HiB vaccine; two shots of PCV 13 and one more shot of the IPV.

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.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: The toddler room did not have a hands free disposable can for diapering.

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.

Noncompliance Area: An updated lunch menu was not observed to be posted. As per staff, a lunch menu is not provided to parents.

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

Noncompliance Area: During the annual inspection, the facility did not have the updated liability insurance on the premises.

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 the annual inspection on 9/5/2019, the emergency plan was dated 9/1/2018. Thus is was reviewed more then a year ago.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: Staff 2 did not have 6 hours of annual training on file.

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

Noncompliance Area: During the annual inspection on 9/5/2019, staff 1, 3 and 4 last had their staff evaluations completed on 3/30/2018, which makes it more then one year since the last staff evaluation was completed.

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: The pre-k, preschool room, office hallway and the room next to preschool all had missing outlet covers.

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

Noncompliance Area: In the pre k room, there was air wick accessible to the children on a shelf.

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: In the pre-k room, the first aid kit was missing scissors and 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: As per staff, only cereal with milk is served for breakfast. As a result, breakfast does not have at least one item from three of the four food groups.

Correction Required: Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain.

Noncompliance Area: On 12/12/2018, certification representative arrived at the facility and observed 7 older toddlers and 5 young toddlers in the toddler room with 2 staff. When staff were asked to identify their groups, staff 1 identified four children and staff 2 identified 3 children, leaving 5 children unassigned.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained 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: When the certification representative arrived to the facility on 10/17/2018, he observed staff 1 arrive with the school bus with one child already on board. Staff #1 was the driver of the school bus. Twelve additional school age then boarded the school bus. Staff 1 was not aware that an additional staff person was needed for ratio.

Correction Required: When school-age children are transported, the driver may be considered part of the staff-child ratio required in 3270.51.

Noncompliance Area: When the certification representative boarded the 14 passenger school bus on 10/17/2018, it was observed that there were no safety restraint systems on board and the bus was in use. Through requesting the children's files, it was determined that there was one child that was five years old and two children that were six years old.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. 4581 (relating to restraint systems).

Noncompliance Area: The infant room had a ripped changing pad which had exposed foam. The preschool room had a loose red door on a cabinet that was not durable or safe to the children in the room.

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

Noncompliance Area: The pre-k classroom did not have a daily activity schedule posted during the annual renewal.

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

Noncompliance Area: During the time of the annual renewal, child 2 and 3 did not have a child service report on file. Child 4 did not have the services provided section filled out on her fee agreement.

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: Child 1, 2 and 3 had outdated emergency forms and fee agreements on file. Child 1's fee agreement and emergency contact form was last dated 2/9/2018. Child 2's fee agreement and emergency contact form was last dated 5/19/2017 and child 3's emergency form and fee agreement was last dated 12/29/2017.

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

Noncompliance Area: Child 1 had an outdated health assessment. The health assessment last dated 7/19/2017. Child 1 is an older toddler.

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 time of the renewal, the facility was not able to provide liability insurance and did not have it on file at the facility.

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: Staff 5 did not have two letters of reference on file during the time of the annual renewal.

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 time of the renewal, the emergency plan was not posted. Staff 1, 3, 4 and 6 did not have emergency plan training documented on file at the time of the renewal.

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

Noncompliance Area: Staff 1, 2 and 3 did not have annual training hours documented at the time of the annual renewal.

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

Noncompliance Area: Staff 6 did not have fire safety training documented during the time of the annual renewal.

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: Staff 5 did not have a disclosure statement on file during the time of the annual renewal.

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 boys bathroom did not have a hand washing sign during the time of the annual renewal.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: Inspector observed a child sleeping on the carpet without a mat or a cot in the preschool room.

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.

Noncompliance Area: The cots in the infant room are not labeled for the use of a specific child and used only by the specified child. There is no cot chart in infant room.

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 Pre-K room does not have a daily schedule posted.

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

Noncompliance Area: In the infant room, the television was on a channel that was not for children. Inspector observed staff sitting in rocking chairs holding children and watching the television.

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: Children 3 and 5 do not have 6 month updated child service reports on file. Child 3 has a child service report on file dated 2/17/17 and child 5 has a child service report on file dated 3//24/16.

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: Child 3 does not have a fee agreement on file.

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

Noncompliance Area: Child 4 does not have the physician's phone number listed on the emergency contact form.

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: Emergency contact form for child 1 does not include the written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Emergency contact form for child 2 does not include 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: Child 1 and 3 do not have updated emergency contact forms on file. Child 1's last update was 2/28/17 and child 3's last updated was 2/20/17. Child 5 went more than 6 months without receiving an update on the fee agreement and emergency contact form. Child 5 has a fee agreement and emergency contact form on file with dates 2/20/17 and 9/11/17.

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

Noncompliance Area: Child 4 health report does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Child 5 - DOB - 5/23/13- did not have an updated health report at least every 12 months. Dates of health reports on file for child 5 are 4/19/16 and 7/17/17

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: Inspector entered the toddler room before snack began. Staff did not wash children's hands nor did staff wash their hand before providing snack.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Child 1's emergency contact form does contain signed parental consent for administration of minor first-aid procedures

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: Staff 1 does not have 2 letter written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. Staff 1 has only 1 letter 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

Noncompliance Area: Inspector observed a lighter in an unlocked draw in the Pre-K classroom. Lighter is accessible to children.

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

Noncompliance Area: Staff 3, 4 and 5 have been employed for more than a year and do not have 6 hours of child care trainings on file.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Staff 3 - DOE - 5/2012 - is working with a child abuse clearance and fbi clearance that is older than 5 years. Staff 3 has a child abuse clearance on file dated 3/20/12 and an fbi clearance on file dated 6/4/12. Staff 2 - DOE - 6/5/17 - does not have mandated reporter training on file. Staff 2 has worked more than 90 days without mandated reporter training being on file.

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. 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: Staff 1's file contains proof of education that is written in Spanish and is from the Dominican Republic. There is no documentation on file to explain what level of education the said documentation meets. Therefore it cannot be determined if staff 1's education meets at least high school graduate.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Inspector observed an exposed outlet in the preschool room.

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

Noncompliance Area: While in the toddler room, inspector found a toxic (baby powder) in a child's backpack that was hanging on a hook in reach of the children. The toxic was labeled "keep out of reach of children". The toxic is accessible to children.

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

Noncompliance Area: The first-aid kit in the toddler room is missing tweezers and gloves. The first-aid kit in the preschool room is missing gloves. The first-aid kit in the room that is on the right when in the office is missing tape.

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: Inspector observed rust inside the stalls on the lower right of the stall walls in the boys bathroom. Inspector observed a hole in the wall where the door handle meets up with the wall. In the infant room, inspector observed a separation (open space) by the outlet on the wall that faces Summer Ave. In the girls bathroom, inspector observed a broken ceiling tile in the stall closest to the office.

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: Fire drill is not being held at least every 60 days. Last document fire drill is May 23, 2017

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. 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.

Noncompliance Area: On 5/2/17 an unannounced inspection was conducted. Inspector observed staff changing children's diapers in the toddler room. Staff did not wash her hands or the children's hands once completing diapering. On 6/7/17, an unannounced inspection was conducted. In the older toddler room, inspector observed the staff with gloves changing a child's diaper. Staff did not wash her hands nor did the staff wash the child's hands once completing diapering.

Correction Required: A staff person shall ensure that a child`s hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: On 3/17/17, a renewal inspection was conducted, inspector observed 11 children (preschool and young school age) in the school age room with one (1) staff. On 5/2/17, an unannounced inspection was conducted. Inspector observed six (6) children in care with one staff. One of the children in the group was a young toddler. On 6/6/17, an unannounced visit was conducted and inspector observed six (6) preschool children and one (1) older toddler with staff 1 in the preschool room.

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 required staff:child ratios must be maintained at all times.

Noncompliance Area: On 3/17/17, a renewal inspection was conducted, in the school age room, there is peeling paint in the reading area and holes on the wall where cots are stacked. In the preschool 2 room, there is peeling paint on the red wall. On 5/2/17, an unannounced inspection was conducted; inspector observed chipped paint on the red wall in preschool 2 room. Inspector observed a tile in the girl's bathroom that has a water stain and a huge gap in tile that does not meet the wall. Inspector observed a ceiling tile that is around the light fixture that is not properly placed leaving gaps around the fixture. On 6/7/17, an unannounced inspection was conducted and inspector observed a ceiling tile that is around the light fixture that is not properly placed leaving gaps around the fixture.

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: STAFF #1 ADMITTED WHEN BEING INTERVIEWED THAT SHE IS UNABLE TO SEE THE CHILDREN WHEN THE CHILDREN RUN IN THE BACK ROOM OF THE TODDLER ROOM.

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. The legal entity must arrange for all facility staff to receive PQAS approved training regarding supervision and ratios of children in care. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: On 3/17/17, a renewal inspection was conducted and children 1, 2, 5 and 8 do not have a fee amount listed on the fee agreement. Children 2 and 7 do not have the day the fee is going to be paid listed on the fee agreement. On 5/2/17, an monitoring visit was conducted and it was determined that child 8 does not have a fee amount listed on the fee agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Inspector observed staff changing childrens diapers in the toddler room. Staff did not wash her hands or the children's hands.

Correction Required: A staff person shall ensure that a child`s hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: On 3/17/17, a renewal inspection was conducted,inspector observed bottles that were not labeled with the child's name in the infant room. On 5/2/17, an unannounced inspection was conducted, inspectector observed 3 bottles in the infant room that are not labeled with childrens names.

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

Noncompliance Area: STAFF 1, 2 AND 3 ADMITTED WHEN BEING INTERVIEWED THAT AN INCIDENT REPORT WAS NOT GIVEN TO PARENT FOR CHILD 1 FOR INCIDENT THAT OCCURED ON 4/28/17.

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 legal entity is requied to send any and all incident reports to the Regional Office of Child Development and Early Learning. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months.

Noncompliance Area: On 3/17/17, a renewal inspection was conducted, inspector observed 11 children (preschool and young school age) in the school age room with 1 staff. On 5/2/17, an unannounced inspection was conducted. Inspector observed six (6) children in care with one staff. One of the children in the group was a young toddler.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Noncompliance Area: Inspector observed an outlet that does not have a protective cover in the toddler room that is accessible to children 5 years of age and younger.

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

Noncompliance Area: On 3/17/17, a renewal inspection was conducted and in the preschool 2 room, the first-aid kit is missing tape. On 5/2/17, an unannounced inspection was conducted and inspector observed the first-aid kit in the preschool 2 room is missing tape.

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: On 3/17/17, a renewal inspection was conducted, in the school age room, there is peeling paint in the reading area and holes on the wall where cots are stacked. In the preschool 2 room, there is peeling paint on the red wall. On 5/2/17,an unannounced inspection was conducted, inspector observed chipped paint on the red wall in preschool 2 room. Inspector observed a tile in the girls bathroom that has has a water stain and a hugh gap in tile that does not meet the wall. Inspector observed a the ceiling tile that is around the light fixture is not properly placed leaving gaps around fixture.

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: The cots located in the school age room and older toddler room are 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: Children 1, 2, 5 and 8 do not have a fee amount listed on the fee agreement. Children 2 and 7 do not have the day the fee is going to be paid listed on the fee agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Children 2 and 3 do not have updated child service reports on file. Children 2 and 3's child service report was last completed on 10/6/15.

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: Child 1 does not have an emergency contact form on file and has been enroll since 9/21/16.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Child 5 is missing the physician's address on the emergency contact form and child 6 is missing the physician's address and phone number on the emergency contact form.

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