Les Petits Cherubs Ridge

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On the day observing files Staff#1 did not have a current completed physical.

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(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During unannounced inspection on 07/16/2025, file of staff person #1 did not contain verification of education and previous child care experience to qualify staff person for position performing (Assistant Group Supervisor).

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During unannounced inspection 07/16/2025, file of staff person #1 did not contain two written non family references attesting to staff person's suitability.

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: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: During unannounced inspection 07/16/2025, file of staff person #1 did not contain verification of completed Part 2 of PA Health and Safety training; staff person #1 has been employed at the facility more than 90 days.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced inspection 07/16/2025, file of staff person #1 did not contain completed National Sex Offender Registry Clearance (NSOR) on file; staff person has been employed more than 45 days and file contained request signed 02/21/2025 and resubmission 03/10/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: STAFF PERSON #1 MAY NOT WORK IN A CHILD CARE POSITION. 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.STAFF PERSON #1 MAY NOT WORK IN A CHILD CARE POSITION.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On the day of visit observed the swings which did not have enough loose-fill protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On the day of visit the children did not wash their hands prior to lunch.

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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: On the day of visit staff# 1 and Staff#2 did not have proof of the TB test in the files.

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. 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: Staff#3, a Provisional hire, did not have proof that they applied for the FBI clearance and Staff#4, a Provisional hire, did not have proof they applied for the NSOR clearance in the files.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and Staff#4 may not work in a childcare 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 #03 and Staff#4 may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the day of visit observed stained ceilings tiles throughout the facility.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On the day of visit there wasn't enough protective surface under the swings.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: On the day observing the files staff#1 did not have a current health and safety in the files.

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: ON the day observing the files staff#3 did not have proof of education in the files

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.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: THERE WERE NO FILES PROVIDED FOR STAFF 1, 2, 3, AND 4 AT THE TIME OF THE RENEWAL INSPECTION.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION, IT WAS FOUND THAT STAFF 5 LIVED OUT OF STATE AND NEEDS OUT OF STATE CLEARANCES.

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.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION ON 3/18/2020, IT WAS FOUND THAT ON 3/12/2020 CHILD #1 WAS LEFT UNATTENDED IN THE REAR PLAYSPACE. CHILD #1 WAS DISCOVERED OUTSIDE AFTER APPROXIMATELY 30-45 MINUTES ON THE SECOND FLOOR LANDING OF THE REAR STEPS BY STAFF PERSON #2 AFTER CLASS HAD COME IN FROM THE REAR PLAYSPACE.

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: STAFF #1 DID NOT KNOW THE WHEREABOUTS OF HER CHILD ON THE DAY OF THE INCIDENT 3/12/2020.

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: AT THE TIME OF THE UNANNOUNCED VISIT ON 3/18/2020, THERE WAS NO PROOF OF AN INCIDENT REPORT WRITTEN ON THE DAY OF THE INCIDENT ON 3/12/2020.

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

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED VISIT ON 3/18/2020, THERE WAS NO FILE FOR STAFF #1 AT THE FACILITY.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED VISIT ON 3/18/2020, THERE WERE MOUSE DROPPINGS FOUND IN CUBBIES, CHAIRS, ON TOYS AND PERIMETER OF THE INFANT ROOM CLASSROOM ON THE FIRST FLOOR AND THE TODDLER CLASSROOM ON THE SECOND FLOOR. A DEAD INSECT WAS FOUND IN THE CABINET IN AREA BEFORE THE INFANT ROOM ON FIRST FLOOR.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: THE FILE OF STAFF #2 DID NOT INCLUDE PROOF OF THE EMPLOYMENT FBI REQUIRED UNDER DHS/OCDEL REGULATION.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #02 may not work in a child care position at the facility.

Noncompliance Area: STAFF #2 HAS A PDE FBI CLEARANCE ON FILE WHICH IS NOT ACCEPTABLE BY DHS/OCDEL REGULATION.

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 # 02 may not work in a child care position at the facility.

Noncompliance Area: STAFF #1 WAS NOT PRESENT AT FACILITY AT THE TIME OF THE RENEWAL INSPECTION.

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

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION ON 10/3/19 THE AC UNIT ON THE 2ND LEVEL WAS NOT PROPERLY INSTALLED AS SIDE PIECE OF UNIT DID NOT CONNECT TO WINDOW. CHIPPING PAINT WAS FOUND ON THE SILL UNDER THE AC UNIT ON THE SECOND LEVEL.

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: AT THE TIME OF THE UNANNOUNCED MONITORING ON 8/12/19 THE HEIGHT OF THE MULCH DID NOT MEET REQUIREMENTS OF THE US CONSUMER PRODUCT SAFETY COMMISSION.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION ON 8/12/19, IT WAS FOUND THAT ON THE DAY OF THE INCIDENT 7/19/19, CHILD #1 WAS NOT SUPERVISED APPROPRIATELY WAS ABLE TO INGEST A LEAF DURING AN EVACUATION DURING A FIRE DRILL AT 11:35AM AND DID NOT EAT FOR THE REST OF THE DAY. PARENT WAS NEVER NOTIFIED BY STAFF PERSON #1 THAT CHILD WAS NOT EATING DURING THE DAY UNTIL PICK UP AT 4:30PM.

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: AT THE TIME OF THE UNANNOUNCED INSPECTION THERE WAS NO INCIDENT REPORT WRITTEN OR GIVEN TO THE PARENT FOR THE INCIDENT WHICH OCCURRED ON 7/19/19.

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

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED MONITORING ON 8/12/19 THERE WAS NO MASTER INCIDENT/ACCIDENT BINDER AT THE FACILITY.

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

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION STAFF #1, #2, AND #3 DID NOT HAVE A FILE AT THE FACILITY.

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

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED MONITORING ON 8/12/19, STAFF #3 DID NOT HAVE PROOF OF A HIGH SCHOOL DIPLOMA ON FILE.

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 UNANNOUNCED VISIT ON 8/12/19 IT WAS FOUND THAT THE FACILITY DID NOT REPORT THE INCIDENT INVOLVING CHILD #1 ON 7/19/19.

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.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION ON 8/12/19 IT WAS FOUND THAT THE FACILITY DID NOT COMMUNICATE WITH THE PARENT OF CHILD#1 AT THE TIME OF THE INCIDENT ON 7/19/19.

Correction Required: The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED MONITORING ON 8/12/19, HIGH SCHOOL DIPLOMA ON FILE FOR STAFF #4 IS FRAUDULENT AND THEREFORE STAFF#4 DOES NOT QUALIFY FOR ASSISTANT GROUP SUPERVISOR POSITION.

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: AT THE TIME OF THE UNANNOUNCED VISIT ON 8/12/19 THERE WERE DIAPERING STATIONS THAT DID NOT HAVE A WATER SOURCE CLOSE BY.

Correction Required: A sink shall be located in or near a toilet area.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION ON 1/3/19 AND THE FOLLOW-UP INSPECTION ON 3/13/19 STAFF #2 AND STAFF #4 DID NOT HAVE A CURRENT HEALTH ASSESSMENT ON FILE.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION ON 1/3/19 AND THE FOLLOW-UP INSPECTION ON 3/13/19 STAFF #1 AND STAFF #2 DID NOT HAVE PROOF OF SIX HOURS OF CHILDCARE TRAINING.

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 ON 1/3/19 AND THE FOLLOW-UP INSPECTION ON 3/13/19 STAFF #2 DID NOT HAVE PROOF OF MANDATED REPORTER TRAINING ON FILE. START DATE AT FACILITY WAS ON OR ABOUT 12/10/2017.

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.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION ON 1/3/19 AND FOLLOW-UP INSPECTION ON 3/13/19 STAFF #2 WAS EMPLOYED AS AN ASSISTANT GROUP SUPERVISOR. STAFF #2 HAS A FOREIGN DEGREE THAT NEEDS EVALUATION TO FIND OUT THE EQUIVALENT TO THE US. STAFF #4 DID NOT HAVE PROOF OF REQUIREMENTS THAT WOULD ALLOW STAFF TO WORK AS AN ASSISTANT GROUP SUPERVISOR.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: At the time of the inspection, there was no verification of child care experience (2,500 hours) prior to service at the facility for staff #2.

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 inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #1.

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 inspection, there was no emergency plan training on file for staff #1 (date of hire 6-29-18).

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: At the time of the inspection, there were no completed Child Abuse and FBI clearances and no recent requests for these clearances on file for staff #1 (date of hire 6-29-18). The requests for clearances for staff #1 were dated 7-6-16. The State Police clearance dated 7-15-16 did not contain a dissemination date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 01 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 #01 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, the play kitchen in the art room had peeling paint.

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

Noncompliance Area: At the time of the inspection, the dramatic play kitchen set in the older toddler room was not mounted and was could easily be tipped posing a hazard. The changing table in the young toddler room was coming apart on the right side exposing the screws.

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

Noncompliance Area: At the time of the inspection, there was no label on one of the pac & plays in the transitional infant side 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: At the time of the inspection, there was no birth date on the emergency contact form for child #4.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: At the time of the inspection, there was no address and telephone number of the child's physician on the emergency contact form for child #1,2,4, and 6.

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: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #3.

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

Noncompliance Area: At the time of the inspection, there was no health insurance policy number on the emergency contact form for child #2 and 4.

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 inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #1-4 and 6.

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: At the time of the inspection, the medication that was on site for child #7-12 was expired. Child #13 had one EPI-Pen on site and therefore it did not follow the written instructions of administration.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: At the time of the inspection, the changing table pads on each changing table were surrounded by duct tape and were peeling causing debris to get stuck on the tape and therefore, not having the table properly cleaned or sanitized.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: At the time of the inspection, the date on the health report for staff #8 was illegible.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, there was a container of milk being stored in the closet of the young toddler room. The milk should have been refrigerated.

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

Noncompliance Area: At the time of the inspection, the sippy cups in the young toddler room were not labeled.

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

Noncompliance Area: At the time of the inspection, there was no verification of written safe routes posted in either of the transitional infant room, meal room, or young toddler room.

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

Noncompliance Area: At the time of the inspection, there was no verification of current liability insurance at the facility. The insurance posted expired 5/27/17.

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: At the time of the inspection, there was no verification of signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff for child on the emergency contact form for child #4.

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 inspection, there was no verification of age in the file of staff #2

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: At the time of the inspection, there was no verification of previous child care experience on file for staff #14

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 inspection, there was no disclosure statement on file for staff #14(date of hire 1-18-17) and no request for FBI clearance on file for staff #10 (date of hire 11/27/17)

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: At the time of the inspection, there was no verification of an update or review to the emergency plan that was conducted annually.

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: At the time of the inspection, there was no verification of a high school diploma on file for staff #10 to be classified as an assistant group supervisor.

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

Noncompliance Area: At the time of the inspection, there were leaves covering the ramp to the right of the lower back entrance onto the playground. There was green mold/moss on the white fence where children walk and play. The railings on the ramp to the right were rusty and paint was beginning to peel. When walking from the toddler playground to the preschool playground, there were a pile of leaves by the gate that separates each playground. When the cert rep opened the gate from the toddler side and began to walk on the preschool side, there was a dip in the ground surface that was masked by the leaves posing a tripping hazard.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: At the time of the inspection, there was hand sanitizer on the table in the foyer. This was accessible to any child walking through the foyer.

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: At the time of the inspection, the hot water in the Art room measured 114 F. The hot water in the Young Toddler room measured 112 F.

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

Noncompliance Area: At the time of the inspection, the windows in the art room, young toddler room and older toddler room measured more than 6 inches when opened.

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: At the time of the inspection, the fire department, nearest hospital and ambulance were missing from the emergency phone numbers which should have been posted in every child care space.

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

Noncompliance Area: At the time of the inspection, there were band-aids missing from the first aid kit in the Transitional infant side room.

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: At the time of the inspection, there were screws hanging out of the wall under the bulletin board in the foyer. The ceiling tile in the transitional side room had water damage and needs to be replaced. There was a brown broken toy bin on the preschool playground. The screws on the fence were exposed and not capped or filed down to the nut and could cause an injury. There was a dead squirrel on the preschool side playground. In the art room, there was water damaged ceiling tile. The ceiling vents throughout the building had a collection of dust on them. On the vent on the wall by the changing table in the young toddler room, the screws were undone and causing the corners to be lifted and sticking out posing a hazard to children.

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: At the time of the inspection, there was peeling paint in the following locations: in the foyer on the green wall and on the blue wall in the transitional main room.

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

Noncompliance Area: At the time of the inspection, the sink in the young toddler room had a black film to the caulk that surrounds it.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of the inspection, the lids to the trash cans in the young toddler room were not connected.

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

Noncompliance Area: At the time of the inspection, there were portable space heaters found in the closet on the second floor in the middle room between the art room and young toddlers.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: At the time of the inspection, no staff person who was supervising child #1 was clear as to how child #1 received injuries to the hand.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. 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 after DHS approves the documentation format.

Noncompliance Area: At the time of the inspection on 8/1/17, staff #3 did not know the specific names of the children in her group. There were 9 children in her group, when asked who she had she replied the names of all 9 childRen. On 8/2/17 at the time of the inspection, in the upstairs toddler room, staff #10 did not know the specific names of children in his 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: At the time of the inspection, staff #1 did not have a health assessment on file. Staff #5 did not have a health assessment on file. Staff # 9 did not have a health assessment on file. Staff #13 who was sent from another site to cover ratios had an expired health assessment. It expired on 6/15/17.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, staff #1 and 9 did not have tuberculosis screening by the Mantoux method at initial employment.

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: At the time of the inspection, child #1 did not have a review and update to the emergency contact information and the financial agreement at least once in a 6-month period. The last signature for the emergency contact form was dated 8/8/16. The last update to the financial agreement was 8/11/16.

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 inspection, child #1 did not have a review and update to the emergency contact information and the financial agreement at least once in a 6-month period. The last signature for the emergency contact form was dated 8/8/16. The last update to the financial agreement was 8/11/16.

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 inspection, there was no complete file for staff #11 on site.

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

Noncompliance Area: At the time of the inspection, there was no verification of child care experience prior to service at the facility for staff #1,3,4,5,7.

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 inspection, there was no verfication of education on file for staff #1,2,3,4, 5, 6.

Correction Required: A facility person`s record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: At the time of the inspection,there were no Child Abuse or FBI clearances or mandated reporter training on file for staff #2 (date of hire 3/21/16).

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

Noncompliance Area: At the time of the inspection, there was no State Police or FBI clearances, mandated reporter or disclosure statement on file for staff #1 (date of hire 2/16/17). There were no Child Abuse or FBI clearances or mandated reporter training on file for staff #2 (date of hire 3/21/16). There was no signed disclosure statement on file for staff #3 (date of hire unknown).There was no FBI clearance, mandated reporter training or signed disclosure statement on file for staff # 4 (4/12/17). There was no signed disclosure statement or mandated reporter training on file for staff #5 (1/30/17). There was no Child Abuse, FBI clearance or mandated reporter training on file for staff #6 (date of hire 10/4/16). There was no signed disclosure statement on file for staff #9 ( date of hire 6/5/17). There was no signed disclosure statement on file for staff #10 (date of hire 7/3/17). There was no signed disclosure statement on file for staff #7 (date of hire 4/12/17).

Correction Required: A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2,4,6 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person on file for staff # 1,2,3,4,5,6,7,8.

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 inspection, there was no injury report for child #1 who sustained an injury in reference to the complaint.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility

Noncompliance Area: At the time of the inspection, there were exposed nails coming through the carpet in the Transi (young toddler room).

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

Noncompliance Area: At the time of the inspection, there was no emergency plan training on file for staff #3 or 11.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: At the time of the inspection, There were no Child Abuse or FBI clearances or mandated reporter training on file for staff #2 (date of hire 3/21/16).

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

Noncompliance Area: At the time of the inspection, there was no State Police or FBI clearances, mandated reporter or disclosure statement on file for staff #1 (date of hire 2/16/17). There were no Child Abuse or FBI clearances or mandated reporter training on file for staff #2 (date of hire 3/21/16). There was no signed disclosure statement on file for staff #3 (date of hire unknown).There was no FBI clearance, mandated reporter training or signed disclosure statement on file for staff # 4 (4/12/17). There was no signed disclosure statement or mandated reporter training on file for staff #5 (1/30/17). There was no Child Abuse, FBI clearance or mandated reporter training on file for staff #6 (date of hire 10/4/16). There was no signed disclosure statement on file for staff #9 ( date of hire 6/5/17). There was no signed disclosure statement on file for staff #10 (date of hire 7/3/17). There was no signed disclosure statement on file for staff #7 (date of hire 4/12/17).

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

Noncompliance Area: At the time of the inspection, sTAFF #1-9 did not have verification to be anything classified as more than an aide. There were 14 staff on site at the time of the inspection.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Noncompliance Area: At the time of the inspection, there was a child left alone in the kitchen area with Individual #2 who was their volunteer music teacher.

Correction Required: A volunteer shall be supervised by a staff person who is qualified at minimum as an assistant group supervisor.

Noncompliance Area: At the time of the inspection on 8/1/17, staff #12 who was also the Director was in a classroom and unable to perform the duties of a Director as outlined in 3270.34(a) and (b). This was also observed at an unannounced inspection on 8/2/17.

Correction Required: In a facility in which 45 or fewer children are enrolled, a director may also function as a group supervisor. An individual who functions in a dual capacity shall meet the responsibilities and qualifications of a director set forth in 3270.34(a) and (b).

Noncompliance Area: At the time of the inspection, there was no qualifications in the file of staff #1,2,3,4,5,6,7,8,9 to classify them as an assistant group supervisor.

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

Noncompliance Area: At the time of the inspection on 8/2/17, in the infant room, there were 10 infants, some under the age of 1, with 2 staff members.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: At the time of the inspection, the Transi room (young toddlers) had 15 children in it and the capacity was 7. There were 10 children (preschool children) in the upstairs left room and the capacity was 7. On 8/2/17, the upstairs classroom to the right had 26( older toddlers) children in it. The capacity for that room was 23.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: At the time of the inspection, there were exposed nails coming through the carpet in the Transi (young toddler room).

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: At the time of the inspection in the upstairs toddler room during rest time, it was observed that Staff #1 and Staff #2 were in the room with 17 children. Of these 17 children, CHILD #1-6 were 2 years old. Staff #1 left the room and walked downstairs leaving staff #2 with all 17 children, including the six two year olds.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children