Learning As We Grow Childcare Ctr

Noncompliance Area: During a renewal inspection conducted on 8/19/2020, 9 child files were reviewed. The files for child # 2,3 7 and 8 contained an emergency contact form without the child's physician's address. The emergency form for child #7 did not list the child's physician telephone number.

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 a renewal inspection conducted on 8/19/2020, 9 child files were reviewed. The files for child # 1,2,3,4,6,7,8 and 9 contained an emergency form without the enrolling parents work address. The files for child # 2,3,4,5,6,7,8 and 9 contained an emergency form without the enrolling parents work telephone number.

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

Noncompliance Area: During a renewal inspection conducted on 8/19/2020, 9 child files were reviewed. The files of child # 6,7 and 9 did not contain information on the child's disability.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: During a renewal inspection conducted on 8/19/2020, 9 child files were reviewed. The files of child # 4 and 9 contained an emergency contact form that did not list the address of the person 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: During a renewal inspection conducted on 8/19/2020, 4 staff files were reviewed. Staff member number #3 file did not contain a PA child abuse clearance for an employee. The PA child abuse clearance in the file was for a volunteer. Facility Person # 3 may not work in a child care position at the facility.

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

Noncompliance Area: During a renewal inspection conducted on 8/19/2020, Certification Representative observed 12 electrical outlets that did not have protective receptacle covers in place.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE LARGE AREA USED FOR MEALS, AND WAS CURRENTLY BEING USED FOR THE CAMP CHILDREN, DID NOT HAVE A DAILY ACTIVITY 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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD # 4, & 5 DID NOT HAVE THE DATE THE FEE WAS TO BE PAID & #4 DID NOT HAVE THE FEE SPECIFIED ON THE 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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #3, 4, & 5 DID NOT HAVE THE DEPARTURE TIME AND # 5 DID NOT HAVE THE ARRIVAL TIME SPECIFIED ON THE AGREEMENT. .

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #2, 4, & 5 DID NOT HAVE THE DATE OF ADMISSION SPECIFIED ON THE AGREEMENT.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CETIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM FOR CHILD #3 & 5DID NOT HAVE THE MEDICAL POLICY NUMBER INCLUDED. .

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #4 DID NOT HAVE AN UPDATED HEALTH REPORT IN THE LAST 6 MONTHS.

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #5 DID NOT HAVE A HEALTH REPORT WITH IMMUNIZATIONS OR AN EXEMPTION LETTER ON FILE.

Correction Required: A 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.A health report shall include a review of the child's health history.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE A MENU POSTED IN THE FACILITY.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #1 DID NOT HAVE AN UPDATED AGREEMENT IN THE LAST 6 MONTHS.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CETIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM FOR CHILD #2 DID NOT HAVE SIGNED CONSENTS FOR EMERGENCY MEDICAL CARE AND MINOR FIRST AID.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #2 DID NOT HAVE A MANTOUX TB TEST RESULT ON FILE.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 HAD ONLY ONE REFERENCE 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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #3 HAD ONLY ONE HOUR OF TRAINING IN THE LAST 12 MONTHS.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE 1 & 2 YO CLASSROOM WAS NOT IN RATIO.

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

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED MONITORING INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED A PRESCHOOL CHILD IN THE HALL AREA OF THE FACILITY, UNSUPERVISED. THE CHILD WAS SENT BY HIS TEACHER TO THE LUNCH AREA BY HIS TEACHER TO GET CUPS.

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. TIERED LIS: Children must be supervised at all times.

Noncompliance Area: During 4/10/2019 physical site review observed the first-aid kit in the 2 year olds classroom was child accessible.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: During 4/10/2019 physical site review observed peeled pain in the 1 year olds classroom and damaged plaster in the infant 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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED A CHILD LEAVE HER TEACHER/CLASS AND GO THROUGH 2 DOORS INTO THE HALL AREA WITH ACCESS TO SEVERAL ROOMS AND THE DOOR TO OUTSIDE ALONE. THE CHILD WAS NOT IMMEDIATELY VISIBLE BY THE TIME AN ADULT STAFF MEMBER LOOKED OUT THE HALL TO CALL HER BACK. ALSO, A CHILD WAS OBSERVED IN THE STALLED BATHROOM ALONE WITH THE MAIN DOOR CLOSED AND THE TEACHER SEVERAL FEET AWAY.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FEE AGREEMENT FOR CHILD #3 DID NOT SPECIFY THE RELEASE PERSONS.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICAITON REPRESENTATIVE OBSERVED THAT THE FEE AGREEMENT FOR CHILD #2 AND THE FEE AGREEMENT AND EMERGENCY CONTACT FORM FOR CHILD #4 HAD NOT BEEN UPDATED/SIGNED WITHIN THE LAST 6 MONTHS.

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #3 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT WITHIN THE LAST 6 MONTHS. LAST HEALTH ASSESSMENT WAS DATED 2/1/18.

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #11 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.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FIRST- AID KIT INSIDE ONE OF THE TRANSPORT VANS DID NOT HAVE ; WATER, SCISSORS, TWEEZERS, OR TAPE.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FILE FOR STAFF #11 DID NOT CONTAIN PROOF OF EDUCATION OR PRIOR 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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE FIRE SAFETY TRAINING, FOR ITS STAFF, WITHIN THE LAST YEAR.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 & #2 DID NOT MEET THE QUALIFICATIONS FOR FACILITY DIRECTOR.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4).

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF #8 & #11, WHO HOLD THE POSITION OF AIDE AND PROVISIONAL HIRE, RESPECTIVELY, IN A ROOM WITH CHILDREN, WITH NO SUPERVISION OF THE STAFF.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE WATER TEMPERATURE IN THE BOYS BATHROOM NEAR THE CAFETERIA AREA MEASURED 120 DEGREES F.

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

Noncompliance Area: DURING AN UNANNOUNCED INSPECTION CERTIFICATION SUPERVISOR CONDCUTED A FACILITY WALKTHROUGH; THERE WAS PEELING PAINT ON THE ORANGE STAIRWAY WALL. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING AN UNANNOUNCED INSPECTION CERTIFICATION SUPERVISOR CODCUTED A FACILITY WALKTHROUGH; THERE WAS PEELING PAINT IN THE LUNCHROOM ON THE BACK ORANGE WALL. THI IS CONTINUED NON-COMPLIANCE

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

Noncompliance Area: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH THE FACILITY REFIRGERATOR WAS UNCLEAN; WITH MILK THAT SPILLED ON THE FOOD. THE THERMOMETER FOR THE REFRIGERATOR WAS ON TOP OF THE REFRIGERATOR NOT INSIDE.

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

Noncompliance Area: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH THERE WAS NO DAILY ACTIVITES PLAN POSTED IN THE RUGRATS ROOM.

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 A COMPLAINT INVESTIGATION CERITIFCATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH STAFF #4 WAS IN THE LUNCHROOM WITH STAFF #3 AND 18 CHILDREN. STAFF #4 STATED THAT SHE DID NOT HAVE A DESIGNATED GROUP. STAFF #6 NAMED ALL OF THE CHILDREN IN HER CLASSROOM (RUGRATS) INSTEAD OF NAMING THE CHILDREN IN HER DESIGNATED GROUP. STAFF #7 DID NOT KNOW THE NAMES OF THE CHILDREN IN HER DESIGNATED 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 A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDCUTED A FACILITY WALKTHROUGH. THE EMERGENCY TRANSPORTATION PLAN WAS NOT POSTED IN ANY OF THE CHILD CARE SPACES IN THE FACILITY.

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: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH THERE WAS A CUP OF ORANGE JUICE SITTING ON A SHELF IN THE RUGRATS ROOM.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH THERE WERE BOTTLES ON A SHELF IN THE INFANT ROOM THAT WERE NOT LABELED WITH THE CHILD'S NAME.

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

Noncompliance Area: DURING A COMPLAINT INVESTIGATION STAFF #1 STATED THAT THE FIRE ALARM WENT OFF AT THE FACILITY DUE TO A MALFUNCTION OF THE ALARM SYSTEM. THE FIRE DEPARTMENT CAME OUT THE FACILITY. STAFF #1 THEN PRESENTED A LETTER TO CERTIFICATION REPRESENTATIVE SUPERVISOR THAT STATED THAT STAFF #7 WAS TERMINATED DUE TO INTENTIONALLY SETTING A BLANKET ON FIRE INSIDE OF THE FACILITY ON 7/10/18. THE LETTER WAS SIGNED BY STAFF #1

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 fire requiring the service of a fire department occurs at the facility.

Noncompliance Area: DURING A COMPLAINT INVESTIGATION STAFF #1, 2, 3,4,5 AND 6 STATED THAT INDIVDUAL #1 DOES COME INTO THE FACILITY. INDIVIDUAL #1 DOES NOT HAVE CLEARANCES ON FILE AT THE FACILITY.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: DURING A COMPLAINT INVESTIGATION STAFF #1,2,3,4,5 AND 6 CONFIRMED THAT INDIVIDUAL #1 HAS BEEN PRESENT IN THE FACILITY. INDIVIDUAL #1 HAS BEEN CONVICTED OF A CRIMES OF MORAL CORRUPTNESS.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Noncompliance Area: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH; THERE WERE TOXICS ACCESSIBLE TO CHILDREN ON TOP OF THE SINK (HAND SNAITIZER) AND UNDER THE SINK (LYSOL WIPES).

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: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH THE FACILITY IS LOCATED ON THE SECOND FLOOR OF THE BUILDING AND THE WINDOWS IN THE LUNCHROOM AND RUGRATS ROOM OPEN MORE THAN 6 INCHES.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH; THE RUGRATS ROOM, BABY BUNNIES ROOM AND INFANT ROOM DID NOT CONTAIN A FIRST AID KIT.

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

Noncompliance Area: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH THE HEATER IN THE GIRLS BATHROOM WAS HANGING OFF THE WALL, THE IS A HOLE IN THE BACK WALL IN THE RUGRAT ROOM, THE BORDER WAS MISSING FROM THE WALL IN THE INFANT ROOM, THERE IS A DEEP FRYER AND GRILL IN THE KITCHEN COVERED WITH GREASE AND THE KITCHEN COUNTERTOPS ARE UNCLEAN.

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

Noncompliance Area: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH; THERE WAS PEELING PAINT ON THE FRONT AND BACK WALL IN THE BABY BUNNIES ROOM, AND ON THE BACK WALL IN RUGRATS 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: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH THE FACILITY'S EMERGENCY EXIT IN THE LUNCHROOM AREA WAS OBTRUCTED. (HIGH CHAIR, SEVERAL FACILITY CHAIRS AND A MOB AND BUCKET)

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: DURING A COMPLAINT INVESTIGATION CERTIFICATION REPRESENTATIVE SUPERVISOR CONDUCTED A FACILITY WALKTHROUGH; THE RUGRATS ROOM AND THE INFANT ROOM DID NOT HAVE EVACUATION ROUTES POSTED.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: A PARENT OF AN ENROLLED CHILD PICKED UP HER CHILD ON TWO OCCASSIONS AND THE CHILD WAS SOAKING WET.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: ON INSPECTION 3/30/17 STAFF PERSON #1 DID NOT HAVE A CHILD ABUSE CLEARANCE ON FILE. IN ADDITION, THE MANDATED REPORTING TRAINING CERTIFICATE ON FILE WAS ALTERED. STAFF PERSON #2 AND #3 DID NOT HAVE CHILD ABUSE CLEARANCES ON FILE.

Correction Required: THE OPERATOR MUST COMPLY WITH THE CPSL AND WITH CHAPTER 3490(relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. FACILITY PERSONS #1,#2 AND #3 MUST BE REMOVED BY END OF DAY-3/30.

Noncompliance Area: FACILITY PERSONS #4 AND #5 DID NOT QUALIFY AS GROUP SUPERVISOR LEVEL STAFF.

Correction Required: STAFF MUST QUALIFY FOR THE POSITION FOR WHICH THEY ARE HIRED/ PERFORMING. A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4).

Noncompliance Area: AN ADDITIONAL GROUP SUPERVISOR IS REQUIRED FOR THE TOTAL NUMBER OF ENROLLED CHILDREN WHO ATTEND DAILY.

Correction Required: A Director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.**AN ADDITIONAL G/S MAY BE CONSIDERED FROM YOUR CURRENT MANAGEMENT TEAM, BUT EACH GS MUST BE PRESENT AT THE FACILITY FOR 30 HOURS PER WEEK.