Learning World Child Academy Inc

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of the inspection, Staff 2 did not have proof of a physical 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the Inspection, Staff 1 had a state police clearance that was "under Review" status, therefore making it not acceptable.

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 at the facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff 1, was seen on video, grabbing a child, who was walking away from staff 1, by the hair to get the child to come back to staff 1.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the inspection, a child was observed to be sitting behind the half door in the middle room on the right side of the building, out of the sight of the staff, putting their nap items 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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff 1 was seen on video. Staff 1 "popped/flicked" a child's hand that was in her mouth.

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

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of the inspection, Staff 2 did not have proof of 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, Staff 1 did not have 2 references on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, Staff 1 did not have proof of a state police clearance. Staff 2 did not have proof of the NSOR document.

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 and 2--- may not work in a child care position at the facility.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection certification rep observed there was no thermometer in the infant refrigerator.

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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Certification rep reviewed child #1 record and observed telephone number of the child's physician or source of medical care is missing on the emergency contact from.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Certification rep reviewed emergency plan and observed "continuity of operations" section is missing in the emergency plan.

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.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Certification rep reviewed child#1 file and observed signed parental consent for emergency medical care for the child missing on emergency contact form and signed parental consent for administration of minor first-aid procedures by facility staff missing on emergency contact form.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed Staff #1 file and observed FBI clearance missing in record date of hire: 11/16/18.

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. 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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection certification rep observed outlet covers were missing in the inside play space.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Certification rep observed Lysol and bathroom cleaner accessible to children in the older toddler classroom.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Certification rep observed wooden door frame to entrance of classroom broken during the renewal inspection.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Certification rep observe chip paint on each entrance doors of the classrooms of the facility. Chip paint in the infant room blue wall, afterschool room right wall and inside the green room left side of interior sidewall of the classroom. Cert rep observed chip paint and small holes in the girl's bathroom in between the two right and left mirrors of the wall.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Staff #1 and staff #2 did not complete a walkthrough of the outdoor play equipment to make sure playground equipment was in good repair.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: This complaint was verified due to Staff #1 admitted to the allegation, she popped (Smack the hand) of child #1. In addition, Certification representative viewed footage of the incident of the date 9/22/2022 at 12:04 pm and concluded that the allegation of the report was verified. Staff #1 did pop (smacked the hand) of child #1 and flung him on his cot.

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

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During renewal inspection certification rep reviewed staff#2 and staff#4 file and observed the health assessment form is expired including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Regulation: 3270.31(e)(1)(i)/3270.31(f)(10)

Description: By accredited secondary or postsecondary institution approved by PDE/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Certification rep reviewed staff#1 files and observed staff#1 has not completed the following required pre-service training in Pediatric first aid and CPR training within 90 days of their date of hire.

Correction Required: Training conducted by a secondary or postsecondary institution is acceptable and may count toward the annual requirement for 6 hours of child care training when the institution is approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council of Postsecondary Accreditation and acceptable to the Department of Education. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Certification rep reviewed staff #1 file and observed staff #1 did complete fire safety training.

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.

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: During renewal inspection Certification rep observed staff#3 working with children alone unsupervised without completing the following required pre-service training on Health and Safety within 90 days of their date of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the renewal inspection Staff#5 failed to demonstrate the fire detection device or system is operable when the certification representative conducted an annual inspection. Staff#5 failed to show certification representative the documentation of an annual fire detection device testing by a fire safety professional.

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.

Noncompliance Area: Children were not supervised and a child was injured by another child.

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 electronic review of several children's files on 9/3/20 cert rep observed that CHILD # 3 emergency contact form did not include the enrolling parent's work address & phone number.

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

Noncompliance Area: During electronic review of several children's files on 9/3/20 cert rep observed that CHILD #3 & 5 emergency contact forms did not include the child's 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: During electronic review of several children's files on 9/3/20 cert rep observed that CHILD # 2, 4, 5 emergency contact form did not include release persons' addresses.

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 electronic review of several staff files on 9/2/20, cert rep observed that STAFF # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 did not have NSOR verification letters. STAFF # 2 had Dept. of Education FBI clearance instead of the DHS FBI clearance.

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

Noncompliance Area: During renewal inspection on 3/20/19 certification representative observed Styrofoam plates being used in the SpongeBob room (I/YT) at lunch time.

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: During renewal inspection on 3/20/19 certification representative reviewed several children's files. Child # 4 emergency contact form did not include 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: During renewal inspection on 3/20/19 certification representative reviewed several children's files. Child # 7 financial agreement was reviewed and updated by parent on 5/23/18.

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 3/20/19 certification representative reviewed several children's files. Child # 4 emergency contact form did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During renewal inspection on 3/20/19 certification representative observed cleaning wipes and cleaning sprays on shelves that could be reached by children in the Red room (3-5 yr. olds) and in the Blue room (SA).

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 time of inspection, the rest equipment being used by the children were too close and did not have the required 2 feet of space on 3 sides of the equipment in use.

Correction Required: 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 time of inspection, there was chipped/peeling paint in the back play area of facility. This area is used as a lunch room/large muscle play area.

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

Noncompliance Area: During time of inspection, the cots used by the children in the older toddler and preschool room were not labeled appropriately to indentify which child was assisigned to which specific rest equipment.

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: Child # 1, 2 and 3 did not have the address of release person documented on their emergency contact forms. Child # 2 did not have an updated and/or reviewed emergency contact form within the last 6 months.

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. 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 information

Noncompliance Area: Child # 2 (enrolled 12/26/17) did not have a health assessment with immunization record documented in their record.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During time of inspection, I observed a diaper change in the infant room and the staff did not wash the child'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.

Noncompliance Area: Staff person # 2 did not have an updated health assessment documented in her 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.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: The parents for child # 2 did not have written consent documented for adminstration of minor first aid.

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: During time of inspection, staff/indivdual person # 2 does not have required mandated child abuse reporter training documented in their record. The person does not work with the children however they are at the center on a regular basis to oversee staff and adminstration.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2-- may not work in a child care position at the facility. 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 person #1 (hired 2/8/16) did not have an annual evaluation 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: During time of inspection, there was chipped paint on the walls in the back play area used by children at the facility.

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 time of inspection, the last two fire drills logged in on the sheet were dated for 9/3/17 and 1/12/18 which is over the 60 day requirement.

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

Noncompliance Area: Staff person # 1 (hired 12/4/17) did not have two non-family references documented in her 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: During time of inspection, there was chipped paint in the orange area, blue area and the large muscle play area in the back of facility.

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

Noncompliance Area: Child was bitten and/or injuried by another child at facility due to lack of supervision by staff.

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 my previous renewal inspection approximately two weeks prior to complaint and at time of this investigation the rugs in the facility did not appear to be dirty (a little worn but not dirty). In addition, I asked the staff assigned to each room if any of the children complained of being bitten by any bugs or if they have experienced any bite while working at facility. During this investigation none of the staff were aware of any bits or had been bitten. In addition, the director states that the facility is exterminated on a monthly basis as a preventative measure to keep out any unwanted insects and/or rodents away (extermination receipts were also provided as proof). At time of investigation, there were no signs of any insects or rodents in the facility. Lastly, the facility recently purchased brand new rugs for all of the rooms in the facility which were still rolled up in the back space waiting to be place in the rooms. As a result of this investigation, I could not verify this complaint.

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

Noncompliance Area: During time of inspection, On two occasions I witnessed staff leaving classroom and/or play area putting the child care space out of ratio. On 3/30/17, I witnessed one staff person only with 16 school-age children because staff left out the childcare space to get supplies and other thing for activities with children. On 4/5/17, I returned to facility and witnessed children playing in the back play space with only one staff person supervising 17 preschool children. The other staff person was in the kitchen area checking on the lunch leaving the space out of ratio.

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.

Noncompliance Area: Staff person #1 was witnessed yelling in the facility at two-school age children and used very harsh language/tone with them after assisting to break up a fight involving the children.

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

Noncompliance Area: Child #1 - #4 did not have the health insurance information with policy number documented on their emergency contact forms. In addition, child #1-4 did not have address and/or phone number for release person documented on their emergency contact forms.

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: Child # 2 (enrolled 8/25/16) and child #5 (enrolled 8/24/15) did not have inital health assessment documented in their records.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: Child #1 (last health assessment dated 3/23/15) and #3 ( last health assessment dated 5/4/15) did not have updated health assessments documented in their records

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 child`s record shall contain initial and subsequent health reports.

Noncompliance Area: Staff person #9 did not have an updated health assessment documented in her record (last health assessment dated 3/1415)

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: Staff person #4 (hired 3/15/17) did not have negative TB screening dates document in her record.

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: Staff in the infant room were unable to wash hands as required before feeding the children and after diapering them.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Child # 2-4 did not have parental consent for emergency medical care and adminstration of minor first aid documented in their records.

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: Staff person #10 did not have two nonfamily references documented in their records.

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 time of inspection, Staff person#4 (hired 12/1/16) did not have FBI clearance and state police clearance was a copy of a picture taken from a cell phone (orginial not seen). Staff person #8 (hired 12/3/15) did not have state police clearance documented in her record. In addition, staff person # $ di not have mandated child abuse training completed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4,8 -- 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 #--- may not work in a child care position at the facility.

Noncompliance Area: Staff person #6 did not have qualification documented in her record to help qualify her for the position of aide at facility.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3).A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: During time of inspection, staff in infant room were unable to wash the hands of the children or their hands after diapering because the portable sink inside the childcare space did not contain water.

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

Noncompliance Area: Staff person #6 (hired 1/17/17) did not have initial health assessment with negative TB reading documented 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.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: Staff person # 3 (hired 11/13/16) did not have dates of negative tuberculosis screen documented in her record.

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: Staff person # 1-7 did not have two nonfamily references documented in their records.

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 # 2,3,4 and #5 did not have training regarding the facility's emergency plan at initial employment at facility.

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. 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: During time of inspection, staff person # 1 (hired 10/12/16) and staff person # 4 (hired 9/23/16) did not have child abuse clearances. Staff person # 4 (hired 9/23/16) did not have mandated child abuse training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #4- may not work in a child care position at the facility. A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #4 may not work in a child care position at the facility.

Noncompliance Area: During time of inspection, staff person #3, #4 and #5 did not have required high school diploma and/or 2 years of documented experiences in their files to qualify them for their positions at facility.

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.