Little Wonders Child Care Center

Noncompliance Area: Observed two cracks and a hole, which created sharp, frayed edges, on the blue spinning octopus in the Preschool/School Age Playground.

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 daily activity schedule was not posted in the School-Age area of the large Preschool/School Age Room.

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

Noncompliance Area: The most recent Child Service Reports in the file for Child #1 exceeded six months between reports: 1/19/19-1/3/20. The most recent Child Service Report for this child is current based on suspended reg due to COVID-19. The most recent Child Service Report in the file for Child #2 is dated 7/1/19. A report was due for this child by 1/1/20 prior to suspended reg.

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 Emergency Contact Form in the file for Child #3 did not include the address for the release persons.

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: The most recent immunization record in the file for Child #2 did not include documentation of a flu shot administered within the past 12 months: November, 2018.

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. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most recent health assessments in the file for Staff Person #11 exceeded 24 months between assessments. The most recent health assessment for this staff person is current.

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

Noncompliance Area: The Emergency Contact Form in the file for Child #1 has not been updated in the past six months (7/21/19). The Emergency Contact Form and Fee Agreement for Child #2 (enrolled 4/15/19) have not been updated by the parent. These updates were due prior to suspended reg due to COVID-19.

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: The file for Staff Person #2 did not include 2 written letters of reference.

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: Observed adult scissors, which were accessible to children, in the unlocked plastic cabinet in the school-age area of the large Preschool/School Age Room.

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

Noncompliance Area: The most recent annual trainings in the facility's Emergency Plan exceeded 12 months between trainings: 4/23/19-6/11/20. Facility reopened after shutdown on 5/11/20. This training is now current. The file for Staff Person #5, whose first day working in child care was 5/15/20, did not include documentation of initial training in the facility's emergency plan.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The most recent annual trainings in Fire Safety exceeded 12 months between trainings: 5/15/19-7/2/20. Facility reopened after shutdown on 5/11/20. This training is now current.

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. 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 Person #9 did not include 6 annual hours of child care training for the past full year of service: 1/10/19-1/10/20. Annual hours for this staff person were due prior to suspended reg during COVID-19 shutdown.

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

Noncompliance Area: The files for Staff Person #1, Staff Person #6 and Staff Person #9 did not include documentation of Mandated Reporter Training conducted within the past 60 months: Staff Person #1: 3/25/15. Staff Person #6: 4/8/15. Staff Person #9: 4/7/15. The files for Staff Person #4 and #8, who have each been working in child care more than 90 days, did not include documentation of Mandated Reporter Training.

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 most recent Child Abuse Clearances in the file for Staff Person #1 exceeded 60 months between clearances: 6/26/15-6/30/20 The most recent State Police, Child Abuse, and FBI Clearances in the file for Staff Person #12 exceeded 60 months between clearances: State Police: 11/5/14-1/13/20. Child Abuse: 11/21/14-7/7/20 FBI: 11/16/14-2/5/20. The most recent required clearances in the file for Staff Person #1 and #12 are current. The NSOR Certificate in the file for Staff Person #4, #5, #8, were each dated after the Staff Person's 45-day provisional hire period. Staff #4: 7/1/20. Staff #5: 7/9/20. Staff #8: 7/7/20. The NSOR Certificates for Staff Person #7, #10, and #12, all hired prior to September, 2019, were dated after 7/1/20. Staff Person #7: 7/7/20. Staff #10: 7/9/20. Staff #12: 7/9/20. All NSOR Certificates for these staff persons are now current. The file for Staff Person #3, first day in child care 2/7/19, did not include an NSOR Certificate.

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

Noncompliance Area: Based on review of staff data sheets and discussion with Director, the most recent written staff evaluations exceeded 24 months between evaluations: April 2019-June 2020. Facility reopened after shutdown on 5/11/20. The most recent written evaluations are current.

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: Observed a spray bottle of surface sanitizer, which was accessible to children, on the cabinet in between Preschool and School Age sides of the large Preschool/School Age 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: The First Aid Kit in the School Age Area of the large Preschool/School Age 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: Observed baseboard peeling away from the walls in the preschool bathroom (2nd on right). The baseboard in the main entrance had been removed during remodeling, which has left the wall surface in disrepair. Observed a gash in the floor tiles between the main entrance and the Toddler 1 room, which creates a tripping hazard. Observed in the Infant/Toddler Play Area: Siding peeling away under the window of the Infant Room, torn panel at the bottom of the door, and cracked, splintering wood at the bottom right of the door frame.

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: The files for Staff Person #1, #4 and #5 did not include two written letters of reference.

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: The files for Staff Person #2, #4, #5 and #6 did not include documentation of initial training in the facility's emergency plan.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The files for Staff Person #1, #2, #3, #4 and #5, who have each been enrolled for more than 90 days, did not include documentation of Mandated Reporter Training. Staff Person #1 and #2 Start Date: 6/13/19. Staff Person #3 Start Date: 6/22/19. Staff Person #4 Start Date: 7/26/19. Staff Person #5 Start Date: 8/29/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for Staff Person #3 did not include a signed 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.

Noncompliance Area: The file for Staff Person #6, who was hired as an Assistant Group Supervisor, did not include a copy of a high school diploma.

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: The file for Staff Person #5, who was hired as an aide, did not include documentation of an 8th grade education and verification of 2 years experience with children.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of 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: The play equipment in the Toddler Outdoor Play Space was dirty. The white and red play kitchen was not secure, which created a potential toppling hazard.

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 most recent health reports in the file for Child #3, an Older Toddler, exceeded 12 months between reports. The most recent health report in the file for Child #3 is current.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most recent immunization records in the files for Child #1 thru Child #7 are not in accordance with the schedule recommended by the ACIP. Child #1 (19 months): Missing 3rd Hep B, 2nd Rotavirus, 3rd Polio, no flu shot. Child #2 (2 Years): Most recent flu shot-2017. Child #3 (2 Years): Missing 4th Pneumococcal, No flu shot. Child #4 (Preschool): most recent flu shot-2017. Child #5 (Preschool): No flu shot. Child #6 (Preschool): Most recent flu shot-2015. Child #7 (Preschool): No record of Rotavirus, no flu shot.

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: The most recent health assessments in the file for Staff Person #8 exceeded 24 months between assessments. The most recent health assessment in the file for Staff Person #8 is current.

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

Noncompliance Area: The file for Staff Person #10, did not include a copy of a high school diploma.

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.

Noncompliance Area: The file for Staff Person #10 did not include two written letters of reference.

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: Standing water was observed in the playhouse and play kitchens in the Toddler Outdoor Play Space.

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 Person #6 contained documentation of 4 clock hours of child care training for the last full year of service.

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

Noncompliance Area: The most recent Child Abuse Clearances in the file for Staff Person #2 exceeded 60 months between clearances. 8/26/13-1/9/19. The Child Abuse Clearance in the file for Staff Person #2 is current. The receipt for fingerprinting (7/13/18) in the file for Staff Person #7 was after her start date (5/15/18). The FBI Clearance in the file for Staff Person #7 is current. The file for Staff Person #3, whose first day in child care was 5/7/18, did not include a current State Police Clearance or documentation of Mandated Reporter Training.

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 Person #3 may not work in a child care position at the facility.

Noncompliance Area: Written evaluations in the files for Staff Person #1, #2, #4, #5, #6, and #9 exceeded one year between evaluations. Staff Person #1: November, 2017-1/1/19. Staff Person #2: October 2017-1/1/19 Staff Person #4: 6/23/17-1/1/19. Staff Person #5: 5/9/17-1/1/19. Staff Person #6: January 2017-May 2019. Staff Person #9: 5/1/17-1/1/19. The first written evaluation in the file for Staff Person #8, with a start date of 5/14/15, was dated May 2019. All annual evaluations for staff persons are current.

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: Observed in the Preschool/School-Age Outdoor Play Space: Green snow-fencing tearing away from metal fence, which created frayed, edges, rolled up fencing between the end of the fence and the rear of the building, a thorned weed near the rear entrance.

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: The material on the rest cot for Child #1 was torn and separated from the frame. The door had broken off from the pink Barbie van in the School-Age Room. The basketball set in the 2's Room was not secure, which created a potential toppling hazard.

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 file for Staff Person #1 did not include two written references.

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: Observed in the Preschool Room and Pre-K Room: dangling camera cords. Observed in Pre-K Room: dangling television wires and cords. These created potential strangulation hazards. The partitions for the Reading Area of the 2's Room were wobbly, which created potential toppling hazards.

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 Person #1, who has been employed for more than 90 days, did not include documentation of Mandated Reporter Training.

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 application for Child Abuse Clearance (9/29/18) in the file for Staff Person #2 was dated after the Staff Person's first day working in child care (9/8/18). All three required clearances in the file for Staff Person #2 are current.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Of the four windows in the Preschool/School Age Room, two of the screens were torn, and one screen was missing. Screens were missing from all windows in the 2's Room.

Correction Required: Screens shall be in good repair.

Noncompliance Area: Observed tears in carpet where carpet divides in Preschool/School-Age Room and small tear in carpet under inside window in Infant 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: Observed peeling/flaking paint on the blue and yellow walls in the left corner of the dining area in the 1's Room, and on the tan wall above the blue toy shelf next to the cubby in the School-Age side of the Preschool/School-Age 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: Based on video observation and interviews with staff, it was determined that the following incidents occurred in the Toddler 2 Room on 12/7/18: At 9:42 AM Child #1 and #2 fully undressed under a pop-out tent with which they were playing and remained naked for approximately 3 minutes. Staff Person #1 was sitting with clear visibility of clothes and diapers being thrown from the tent, and did not assess or redirect the behavior. At 8:37: A child had wrapped a large parachute around himself and remained nearly perfectly still for about four minutes. Staff Person #1 admitted that she did not know the child was under the parachute. At 8:53, a child begins to takes several toys, large plastic and metal trucks, out of the cabinet located in the middle of the room and throw them violently across the room. The first toy nearly hits the head of another child who is sitting near the cabinet. Staff Person #2 walks by the child twice. Staff Person #1 is seated with clear visibility of the situation. Neither staff person assesses or redirects the child. From 10:06-10:12, a child climbs up the slide, stands at the top wobbling, and jumps forward, rather than sliding. He does this 14 times over the next six minutes. The last six times, he jumps to the right of the mat onto the hard-surfaced floor. Staff Persons #1 and #2, who have clear visibility of the situation, do not assess or redirect the child.

Correction Required: All staff persons at the facility will be required to attend further OCDEL-approved training regarding classroom management/discipline, which recognizes and supports the social and emotional needs of children, while being able to provide a safe learning environment for the children to express themselves. Legal Entity, OCDEL Certification Representative and ELRC Representative must meet to discuss appropriate training prior to approval. The training will not count towards the mandatory 6 training hours required by the Department.

Noncompliance Area: Based on video observation and interviews with staff, it was determined that the following incident occurred in the Toddler 2 Room on 12/7/18: At 9:32, Staff Person #1 lifts up Child #1 by the wrist, and lifts him off his feet and over the toy slide in order to escort him to the time out area.

Correction Required: The legal entity will conduct a mandatory staff meeting. At the meeting, the Owner and Director will review and discuss the facility's Child Discipline Policy and the facility's non-compliance items relating to physical punishment documented on the Inspection Summaries for the past year. An agenda will be prepared for the staff meeting and a log identifying the date, time and persons attending the meeting will be maintained. The staff meeting agenda and log will be submitted to OCDEL-DHS representatives within one week of the meeting.

Noncompliance Area: Based on video observations and interviews with staff, it was determined that, on 12/7/18 from 8:30 to 9:30 AM, Staff Person #1 was caring for 10 older toddlers alone for the majority of the hour. Staff Person #2 was in the hallway working on a bulletin board for most of the hour and periodically stepped into the classroom. Staff Person #2 was not physically present with his group of children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.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: Based on video observation, it was determined that on 12/7/18 in the Toddler 2 Room at 9:42 AM, used diapers were on the floor outside the pop-up tent where children had been undressing. Staff Person #2 walked through this area several times over a five-minute period without noticing or addressing the diapers.

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: Based on interviews, it was determined that Staff Person #1 grabbed a child by the back of the neck and yelled in his face, and, on a separate occasion, grabbed a child by the leg and dragged him out from under a table. Based on interviews, it was determined that Staff Member #3 placed a child down roughly on his cot because he refused to take a nap.

Correction Required: All staff persons at the facility will be required to attend an OCDEL-approved training regarding classroom management/discipline, which recognizes and supports the social and emotional needs of children, while being able to provide a safe learning environment for the children to express themselves. The training will not count towards the mandatory 6 training hours required by the Department.

Noncompliance Area: Based on interviews, it was determined that Staff Persons #1 and #2 have yelled and screamed in a harsh manner at the children in the two-year old room on several occasions.

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

Noncompliance Area: On Wednesday, May 16, 2018, Child #1, an Older Toddler, was able to pull a clothes rack down on herself, which resulted in an injury that required an Emergency Room visit. The clothes rack could be easily toppled, which created a hazard for a child of this age and size.

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

Noncompliance Area: On Wednesday, May 16, 2018, Child #1, an Older Toddler, pulled a clothes rack down on herself, which resulted in an injury that required an Emergency Room visit. Staff Person #1 was on the other side of the room from where the incident occurred. Staff Person #2 was changing another child's diaper. Staff Person #2 verbally redirected the child twice to stop pulling on the rack. Neither staff member physically redirected the child to prevent the incident from occurring.

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: Rust was observed where the paint had chipped away on the bouncy yellow school bus in the Preschool/School Age Playground.

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 tear, which exposed the inner foam, was observed in the cloth rocking chair in the Infant Room. This created a potential choking hazard for children who may still be 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.

Noncompliance Area: A gap, which created a possible pinch point, was observed between two clothes cabinets placed side by side in the Toddler 1's Room.

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

Noncompliance Area: The fee agreement in the file for Child #1 did not include the services to be provided by the facility.

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 file for Child #4 did not include a copy of the Fee Agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The Emergency Transportation Plan was not posted in the Infant Room.

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: Packets of antimicrobial skin wipes, which did not include the name of the child for whom the medication was intended, were observed in the classroom and excursion first aid kits in the Toddler 2's Room.

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.

Noncompliance Area: The most recent health assessments in the files for Staff Person #4 and #5 exceed 24 months between assessments. The most recent health assessments in the files for Staff Person #4 and #5 are current. The most recent health assessment in the file for Staff Person #2 is more than 24 months old and is not current.

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

Noncompliance Area: The parental update for the emergency contact form in the file for Child #2 was dated more than six months after the child's initial enrollment. Enrolled: 7/10/17, Update: 2/21/18. The parental update for Child #2 is current. The emergency contact form and fee agreement in the file for Child #3 and #5 have not been updated in the past six months. Child #3 Emergency Contact: 10/23/17. Fee Agreement: 11/6/17. Child #5 Emergency Contact: 6/8/17. Fee Agreement: 8/8/16. The emergency contact form in the file for Child #4 has not been updated since enrollment: 9/17/17.

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: The file for Staff Person #2 includes only one written, non-family reference letter. The file for Staff Person #6 does not include any written, non-family reference letters.

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: The file for Staff Person #1 included documentation of 2 clock hours of training for the last full year of service. The file for Staff Person #8 did not include documentation of any clock hours of training for the last full year of service.

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

Noncompliance Area: The file for Staff Person #7 did not include a 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.

Noncompliance Area: The file for Staff Person #3, who was hired as an Assistant Group Supervisor, does not include documentation of a high school diploma.

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: The latch on the door of the Toddler 1's Room was not working properly. This caused a gap between the door and the framework, which created a possible pinch point. The electrical outlet box near the window in the Preschool Room was loose. This caused a gap between the box and the wall, which created a possible pinch point. The frame of the aluminum gate in the Preschool/School Age Playground had broken, causing the gate to collapse, creating rough, sharp edges.

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: Peeling paint and plaster was observed on the outside surface of the facility, under the windows of the Infant Room and Toddler 2's Room and along the door frame of the Infant Room. This area of the building is in the toddler 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.

Noncompliance Area: Spray bottles containing bleach and sanitizing solutions were observed hanging from a wire rack directly above three diaper changing stations in the infant and toddler rooms. These bottles were accessible to toddlers who may try to grab them if standing upright on the changing tables after a diaper change to have their pants pulled up. This also created a possible hazard if the bottles tended to leak.

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: Spray bottles containing bleach and sanitizing solutions were observed hanging from a wire rack directly above three diaper changing stations in the infant and toddler rooms. These bottles were accessible to toddlers who may try to grab them if standing upright on the changing tables after a diaper change to have their pants pulled up. This also created a possible hazard if the bottles tended to leak.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: In the outdoor play space, observed one red bike with a broken pedal and one red bike with a broken wheel and pedal. In the outdoor play space, observed a large sit-n-spin with two cracks on the base which exposed potential pinch and crush points.

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 fee agreement on file for child #1 lacked arrival and departure times.

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

Noncompliance Area: In the toddler bathroom, observed a bottle of sunblock with an expiration date of 02/1015.

Correction Required: Medication shall be stored in accordance with the manufacturer`s or health professional`s instructions on the original label.

Noncompliance Area: The file for staff #3 lacked an updated health assessment within the past 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: The fee agreement and emergency contact information on file for child #1 and #3 were not updated at least once in a 6-month period. Child #1's fee agreement was udpated on 02-02-016 and then again on 03-16-2017 and emergency contact information was updated on 01-28-2016 and then again on 11-3-2016. Child #3's fee agreement was last updated 09-27-2016 and emergency contact information was last udpated on 01-12-2016.

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: There was no fee agreement on file for child #2.

Correction Required: A child`s record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The file for staff #5 contains one of the two required 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

Noncompliance Area: The file for staff #2 contains 2 of the 6 clock hours of child care training for the current anniversary year.

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

Noncompliance Area: The file for staff #5, who was hired with all three valid clearances, lacked documentation that the disclosure statement was signed prior to the first day working with children. Date of hire was 09-06-2016 and disclosure statement is dated 04-06-2017.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff #4, who holds the title of assistant group supervisor, lacks the required experience, education, and training.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In the preschool room, an electrical outlet was observed without a protective receptable cover. This area is accessible to children under age 6.

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

Noncompliance Area: Based on review of video, staff person #1 dragged child #1 briefly on his stomach on a bean bag chair. The staff person then picked up the child rather forcefully by his arms to a standing position. Next, staff person #1 took the child's left hand, leading him across the room, and then quickly picked up the child by only his left hand and swung the child up and onto his stomach on staff person #1's left shoulder.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Noncompliance Area: *Based on review of video, staff person #1 dragged a child briefly on his stomach on a bean bag chair, then picked up the child rather forcefully by his arms to a standing position. Next, staff person #1 took the child's left hand, leading him across the room, and then quickly picked up the child by only his left hand and swung the child up and onto his stomach on staff person #1's left shoulder.

Correction Required: All staff persons at the facility will be required to attend an OCDEL-approved training regarding recognizing and supporting the social and emotional needs of children, while being able to provide a safe learning environment for children to express themselves. The training will be presented by the Regional Key within 4 months of the approval of this plan of correction. The training will not count towards the mandatory 6 training hours required by the Department.

Noncompliance Area: Based on conversations with several staff and review of video, there was a large green bean bag on the floor in the older toddler room, making it accessible to children and creating a suffocation hazard.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Furniture must be durable, safe, easily cleaned and appropriate for the child`s size, age and special needs.

Noncompliance Area: The file for staff person #2, hired 11/28/16, did not include evidence of a state police clearance or a request for the clearance. Staff person #2 will be removed from their child care position until a valid state police is reviewed and accepted by OCDEL.

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.