Little Kid Zone Child Care Inc

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In room #4, there was not at least 2 feet of space on three sides of 2 cots while the equipment was 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present for a child receiving care in room #3.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The record for child #1 and #2 lacked a current health report.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #2 participated in fire safety training on 10/10/2025, which was more than 1 year following the date of their previous training on 2/29/2024.

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.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person # 3 completed professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation on 7/26/2025, which was more than 90 days following their date of hire. (see LIS code sheet)

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #1 included a current NSOR verification certificate dated 5/8/2025, which was more than 60 months following the date of their previous NSOR certificate on 1/30/2020. The record for staff #4 lacked a valid disclosure statement.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The sink in room #2 was not at the proper height for the children using it for handwashing and there were no platforms or steps for it to be easily approached.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the infant room, there was less than 2 feet of space on three sides of a crib while the equipment was 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: The record for staff #1 included a current FBI clearance dated 4/25/2025, which was following their first day working in child care. (see LIS code sheet)

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.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: The record for staff #1, who was identified as an aide, lacked verification of high school diploma or GED required to work in their child care position.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A fire drill had not been conducted within the last 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system had not been tested within the last 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Three stuffed animals labeled for children ages 3 and up with attached parts that were less than an inch in diameter were observed in a storage container in room #3 accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There was less than 2 feet of space on three sides of a crib in use by an infant in care in room #2.

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.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Medication (Liquid Skin, Benadryl and Neosporin) in the first aid kit in room #3 was not labeled with the name of the child for whom it was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #1 included a current FBI clearance dated 11/14/2024, which was more than 60 months following the date of their previous clearance obtained on 10/29/2019.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots in room #3 were not labeled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact information was not present for children receiving care in room #2 and #3.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in room #2 and #3.

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.

Regulation: 3270.165

Description: Menus

Noncompliance Area: The menu was not posted.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A bottle in room #2, intended for the use of an infant in care, was not labeled with the child's name on it.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The record for child #1 did not contain 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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The hallway was obstructed by a stack of cots and a car seat.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested at least once every 30 days during the time period between 1/18 to 2/19/2024.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A crack was observed on a plastic climbing cube located in the outdoor play space, which would pose a potential pinch point for children using the equipment.

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The record for staff #1 and #2 included an initial health assessment and results of tuberculin skin test conducted more than 12 months prior to their first day working in child care.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's parent letter did not include accommodations for infants and toddlers and continuity of operations.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The temperature of the water from the faucet at the infant room sink used for handwashing was 119° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The lawn surface in the outdoor play space was not maintained at a suitable height for children using it for large muscle activities, the grass and weeds were overgrown up to 12 inches in some areas, which would pose a potential tripping hazard.

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: 3270.81

Description: Glass

Noncompliance Area: A visual strip or other visual identification was not placed on the glass door used to enter the facility.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted by a toilet in the bathroom.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The operator was unable to present the proof of purchase for the interconnected fire detection system installed at the facility.

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: The file for child #1 contained an agreement which did not specify the date of the child's admission.

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

Noncompliance Area: The file for child #1, enrolled since 7/17/20, did not contain emergency contact information or signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.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: Based on documentation at the facility, staff #1 did not update their mandated reporter training within 60 months as required. The last documented training was completed on 1/25/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: The file for staff #1, with a start date of 9/8/09, did not include the required NSOR certificate. The file also contained a child abuse clearance that was not updated within the required 60 month time period. The previous child abuse clearance was obtained on 2/21/13 and was updated on 3/27/19. The file for staff #2, with a start date of 5/20/20, contained clearances obtained after their first day in a child care position; the child abuse clearance was obtained on 5/26/20, the FBI clearance was obtained on 5/28/20.

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. Staff #1 may not work in a child care position at the facility.

Noncompliance Area: Two uncovered electrical outlets, accessible to children 5 years old or younger, were observed in the purple room. The outlets were on an extension cord.

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

Noncompliance Area: Purple dye, labeled keep out of reach of children, was observed in an unlocked cabinet under the sink in the restroom.

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: Broken plastic trim with sharp edges was observed on the threshold between the rear entry way and the infant/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: A cracked seat, which created a pinch point, and peeling paint were observed on a tricycle in the outdoor play space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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: A broken section of wooden track was observed in room 2. The track had splintering wood and sharp edges. Cracks which created pinch points were observed on 4 ride-on cars in the outdoor play space.

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: Room 5 did not have a posted written plan of daily activities.

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

Noncompliance Area: The file for child #1 contained emergency contact information which did not include a 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: The file for child #1, enrolled for more than 60 days, did not contain a health report. The file for child #2 contained an initial health report obtained more than 60 days following the first day of attendance at the facility. The most recent health report on file or child #2 is now current.

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: The file for child #1, an infant enrolled for more than 60 days, did don't contain written verification from a physician of the dates the child was administered immunizations in accordance with the recommendations of the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: The files for child #2, #3, and #4 contained immunization records which indicated the have not received the influenza vaccine within the past 12 months. The file for child #3, a 2 year old, contained an immunization record which indicated they have not received the final dose of DTAP, the final dose of HIB, or the final dose of PCV13.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Approximately 2 inches of standing water was observed in two sand tables in the outdoor play space. The lids of the sand tables were secured on only one end with one strap leaving them accessible. Children were observed using the play space on the day of the inspection.

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

Noncompliance Area: The file for staff #2 did not contain documentation of receiving training regarding the emergency plan within the past 12 months.

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: The file for staff #2 did not contain documentation of completing an annual minimum of 6 clock hours of child care training.

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

Noncompliance Area: The file for staff #2 did not contain documentation of completing fire safety training within the last 12 months.

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

Noncompliance Area: The file for staff #1, provisionally hired on 2-25-19, did not contained documentation of applying for the child abuse clearance prior to starting in a child care position. The file contained a child abuse clearance dated 9-21-17 obtained for the purpose of volunteering. The file for staff #2, with a start date of 9-8-09, contained a child abuse clearance that was not renewed within the required 60 month period. The initial child abuse clearance was dated 2-21-13 and the renewed clearance was obtained on 3-27-19.

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. Staff #1 may not work in a child care position.

Noncompliance Area: The file for staff #2 did not contain a staff evaluation completed within the last 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The first aid kit in the infant room lacked tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Splintering wood and rough edges were observed on three of the four wooden beams of the pavilion in the out door play space. Three protruding nails were observed on a wooden structure in the outdoor play space.

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

Noncompliance Area: A red tricycle with peeling paint and exposed rust was observed in the out door play space.

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: A crib in use by a child in the infant room lacked two feet of space on three sides. The required space was taken up by two empty cribs.

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: The file for staff #1 contained a health assessment which has not been updated in over 24 months.

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: A bottle of White Out, labeled keep out of reach of children, was accessible on the table in the preschool room.

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

Noncompliance Area: In the school age room, a knob was missing from a play stove exposing the sharp end of a screw, a crack creating a pinch point was observed in the rear bottom corner of the sand tub and a furniture tack was accessible to children on the floor. In the blue room, the play stove had cracked Plexiglas on the front creating a pinch point and the sensory table with movable beads had several areas of rust. In the infant room, a push toy with a rusted spring was observed. The following were observed in the large preschool room; a lego table with loose screws which created pinch points around the frame, rusty bells in the instrument bin, a cracked bin with sharp edges on a shelf near the door and 4 pretend cans of food with rusted tops and bottoms.

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: Small removable stickers, window clings, and pieces of tape accessible to children were observed throughout the facility. In the toddler/preschool room, removable moss filling was accessible to children in a potted plant on the floor. In the infant room, foam balls were observed accessible to children. The balls were torn and missing chunks of foam. On the day of the inspection, all children , including toddlers, were served raw cut up carrots which presents a choking hazard.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The large preschool room lacked a written plan of daily activities and routines

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: The file for child #2, enrolled for longer than 6 months, lacked an approved form to provide information to the family about the child's growth and development in the context of the services being provided. The file for child #3 contained service reports completed on 5-23-17 and 3-9-18, which exceeds the required 6 month time frame.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The files for children #1 and #4 contain the original agreements.

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

Noncompliance Area: The file for child #2 contained emergency contact information which lacked the address of the child's physician.

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

Noncompliance Area: The blue room lacked a written plan identifying the means of transporting a child to emergency care.

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: The file for child #1, enrolled for longer than 60 days, lacked a health assessment.

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: In the infant room, staff was observed changing a toddler's diaper. Staff did not ensure the child's hands were washed after being diapered.

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: The file for staff #1 contained a health assessment which was not updated within a 24 month period. The most recent health assessment on file is now current. The file for staff #2 contained only the most recent health assessment, thus compliance could not be determined.The file staff #3 contained an initial health assessment which was more than 12 months old on their start date.

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: In the infant room, staff was observed changing a diaper. Staff did not wash hands after the diaper change was completed.

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

Noncompliance Area: The facility lacked a conspicuously posted menu and based on statements made by staff, a copy of the menu is not provided to parents.

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

Noncompliance Area: The facility's emergency plan did not provide details regarding sheltering in place or sheltering at locations away from the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: The facility's emergency plan lacked details regarding a method for contacting parents when an emergency arises and contacting parents when the situation has ended.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: The files for staff #1 and #2 lack documentation of receiving training regarding the emergency plan on an annual basis. Both staff last received training on 3-18-17.

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: The facility lacked documentation of the qualifications of the individual who conducted their 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.

Noncompliance Area: Aquaphor ointment, labeled keep out of reach of children, was accessible to children in a bag hanging in a child's cubby in the hall.

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

Noncompliance Area: The first aid kit in the school age room lacked tweezers and the first aid kit in the infant room lacked gloves.

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: Peeling paint was observed in the kitchen where the rear table rubs against the wall.

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

Noncompliance Area: The staff restroom lacked a hand washing sign at the sink.

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

Noncompliance Area: Three cribs in the infant room and one crib in the toddler room, in use by children sleeping, lacked 2 feet of space on three sides.

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: At approximately 1:10 PM, two staff were observed supervising 11 children in the toddler room; 7 preschool age, 2 young toddlers and 2 older toddlers.. When asked to name the children in their primary care groups staff #1 named 4 preschool age children and 1 young toddler, staff #2 named 3 preschoolers, 2 older toddlers and 1 young toddler.

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

Noncompliance Area: Eleven children were present in the toddler room which has a capacity of 10. Some children were sleeping or resting on mats, however 3 children were awake and off their mats playing on an electronic device. Another child was awake and being carried by staff.

Correction Required: At naptime, when toddler or preschool children are resting on rest equipment, the capacity may be exceeded for a period not longer than 2 1/2 consecutive hours, no more than twice in a program day.

Noncompliance Area: At approximately 1:10 PM, child #1, an infant, was observed sleeping in a car seat. The car seat was placed inside a crib.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Staff #1 observed and documented suspected abuse of a child in care, but did not report the suspected abuse to Childline. Staff #2 observed suspected abuse of a child in care, but did not report the suspected abuse to Childline.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.

Noncompliance Area: The red seat located in the reading area in the preschool 2 room had worn corners with foam exposed.

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: The cots for preschool children were not labeled for specific child's use.

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 file #3 lacked an agreement completed prior to child's first day of admission with operator and parent signature and child's date of admission.

Correction Required: An agreement shall be signed by the operator and the parent.An agreement shall specify the date of the child`s admission.

Noncompliance Area: Child file #2 lacked health insurance coverage and policy number on the 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.

Noncompliance Area: Child file #3 lacked an initial health reported submitted within 60 days of admission into the facility.

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: The infant room lacked a plastic-lined, hands-free covered can in the diapering area.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The facility lacked menus posted at the facility in conspicuously posted area or provided to each family.

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

Noncompliance Area: Child file #1 lacked review of emergency contact form every 6 months as required or as information changes.

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: Staff file #2 lacked documentation of emergency plan training at initial employment.

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: Staff file #1, DOH 7/16/07, had Child Abuse Clearance dated 6/3/16 after the 12/31/15 due date. Staff file #2 lacked Child Abuse Clearance request or certicificate and FBI clearance, requested 1/19/17, no fingerprint verification date. Staff file #2 also lacked documentation of completion of Mandated Reporter training within 90 days of initial hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) 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 #2 may not work in a child care position at the facility.

Noncompliance Area: Staff file #1 lacked a staff evaluation completed annually as required.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The rug in the back preschool 2 room had loose threads causing a potential tripping hazard.

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.