Love Learn And Play Childcare And Learning Ctr

Noncompliance Area: The file for Staff Person #2 lacked a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The file for Staff Person #2 contained a reference that had been written by a relative. The file only contained one written nonfamily 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 file for Staff Person #2 lacked verification that they had completed 6 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 Person #2 lacked verification that they had completed annual 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: The files for Staff Person #1 and #2 lacked verification that they had completed 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 file for Staff Person #1, who was observed to be caring for a group of children alone on 10/15/20, lacked a request for their NSOR certificate a completed NSOR certificate was not on file prior to starting.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility. 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 #1 may not work in a child care position at the facility.

Noncompliance Area: During naptime staff person's supervising children in the older toddler area, the PreK Counts room, and the Head Start room could not see, hear, direct and access the children in their care as the rest equipment was placed near and by furniture blocking the staff person's view of the children in their care.

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. Children must be supervised at all times.

Noncompliance Area: Staff were not wearing masks while caring for children at the facility as required by Announcement C-20-08, eight out ten staff were not wearing masks, and when asked only one staff person claimed an exemption.

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

Noncompliance Area: In the Front Classroom an area a police car riding toy was observed to be torn along all sides, causing foam to be 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 rest equipment in the Older Toddler area was not labeled for 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.

Noncompliance Area: The thermometer in the Infant Room refrigerator was observed to be in disrepair and needed replaced.

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

Noncompliance Area: A written plan of daily activities was not posted in the Front Classroom. Children were observed to be utilizing the space for some larger muscle activities.

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

Noncompliance Area: The file for Child #1 lacked an agreement.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The agreement for Child #3 lacked the amount of the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The agreement for Child #3 lacked the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The file for Child #6 lacked a completed Child Service Report.

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 agreement for Child #3 lacked the arrival and departure times.

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

Noncompliance Area: The agreement for Child #3 lacked the persons designated by the parent to whom the child may be released.

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

Noncompliance Area: The agreement for Child #3 lacked the date of the child's admission.

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

Noncompliance Area: The agreement for Child #3 did not specify the services which would be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: The emergency contact form for Child #3 lacked the address and telephone number of the 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 emergency contact form for Child #5 lacked the home address for the parent.

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

Noncompliance Area: The emergency contact form for Child #4 lacked the policy number for the child's health insurance.

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 emergency contact form for Child #3 lacked the address for the release persons listed. The emergency contact form for Child #6 lacked the complete address for the release persons and a telephone number for one of 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: Emergency contact forms were missing for 2 children in the Infant Area of the classroom, 3 children in the Older Toddler area, 1 child in the School Age Classroom, 3 children in the PreK Counts and 3 children in the Head Start 2 Classroom.

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.

Noncompliance Area: A written emergency transportation plan was missing from the Stem Classroom.

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 files for Children #2 and #3 lacked verification that they had received their annual influenza vaccination.

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 file for Staff Person #4, #5, #9, #11, #12, #13 and #14 lacked an initial health assessment that had been completed within 12 months prior to starting in a child care taking position. A file was not provided for Staff Person #15 to verify compliance.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The health assessment on file for Staff Person #9 lacked a statement that they had completed a physical examination.

Correction Required: An adult health assessment must include a physical examination.

Noncompliance Area: The files for Staff Person's #4, #5, #9, #11, #12, #13 and #14 lacked a completed tuberculosis screening within 12 months prior to starting. A file was not provided for Staff Person #15 to assess compliance.

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: The health assessments on file for Staff Person's #3, #5, #9 and #12 lacked a statement that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Parents are providing one bottle to be used throughout the day for the Infants in care. The bottle is not washed in a dishwasher between uses.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: Written notification of safe routes was not posted in a conspicuous location in the facility.

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

Noncompliance Area: A files was not provided for Staff Person #15.

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

Noncompliance Area: The files for Staff Person's #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14 and #16 lacked a data sheet that included the facility person's name, address and and telephone number. A file was not provided for Staff Person #15 to verify compliance.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Noncompliance Area: The files for Staff Person's #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14 and #16 lacked verification of age. A file was not provided for Staff Person #15.

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

Noncompliance Area: The file for Staff Person #4 lacked verification of education. The file's for Staff Person #5, #11, #12 and #14 lacked verification of education and experience. A file was not provided for Staff Person #15 so compliance could not be assessed.

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: The file for Staff Person #1, #2, #3, #9 and #11 lacked verification that they had completed mandated reporter training in accordance with the CPSL requirements. A files was not provided for Staff Person #15 to assess compliance.

Correction Required: 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 lacked one of their two written, nonfamily references. The files for Staff Person's #9, #10 and #14 lacked two written, nonfamily references. A file was not provided for Staff Person #15 to assess compliance.

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 last date of update to the emergency plan was 9/11/18.

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: The files for Staff Person's #3, #4, #6, #9, #12, #13 and #16 lacked verification that they had received emergency plan training at the time of initial hire. The files for Staff Person's #1 and #8 lacked verification that they had received annual emergency plan training. A file was not provided for Staff Person #15 to assess compliance.

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 Person #1 lacked verification of an annual 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 files for Staff Person's #1, #2 and #8 lacked verification that they had completed annual 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: The file for Staff Person #1 lacked a completed NSOR certificate and verification that they had completed their mandated reporter training within 90 days of starting at the facility. The file for Staff Person #2 lacked a current Child Abuse Clearance and completion of their updated mandated reporter training. The file for Staff Person #3 lacked a request for their NSOR Certificate and a completed NSOR was not on file prior to starting. The file also lacked verification that they had completed their mandated reporter training within 90 days. The file for Staff Person #4 lacked a dated disclosure statement and a a completed NSOR Certificate. The file for Staff Person #4 also lacked verification that they had requested their State Police, Child Abuse, FBI and NSOR prior to starting in a child care taking position. The file for Staff Person #7 lacked a request for their FBI clearance for DHS purposes prior to starting in a child care taking position. The file for Staff Person #8 lacked completion of their mandated reporter training within 90 days of hire. The file for Staff Person #8 also lacked their completed NSOR Certificate by 7/1/20. The file for Staff Person #9 lacked a signed disclosure statement, a completed NSOR Certificate and completion of their mandated reporter training within 90 days of hire. The file for Staff Person #10 lacked a signed disclosure statement. The file for Staff Person #11 lacked verification that they had requested their NSOR certificate prior to starting and a completed certificate was not on file. The file also lacked completion of their mandated reporter training within 90 days. The file for Staff Person #12 lacked a signed disclosure statement and a request for their NSOR certificate prior to starting. The file for Staff Person #13 lacked a signed disclosure statement. The file for Staff Person #14 lacked a request for their FBI clearance for DHS purposes. The file for Staff Person #16 lacked a completed NSOR certificate and they have exceeded 45 days as a provisional hire. A file not provided for Staff Person #15 and as result compliance with the CPSL cannot be completed. Staff Person's #10 and #14 were observed to be working together and both lacked CSPL required clearance information. Staff Person's #9 and #15 were observed to be working together and both lacked CPSL required clearance information. Staff Person #11 was observed to be working alone and lacked a completed NSOR. Staff Person #12 was observed to be working alone and lacked a completed NSOR certificate. Staff Person #3 was observed to be working alone and lacked a completed NSOR Certificate.

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. Facility Person #1, #2, #3, #4, #9, #10, #11, #12, #14, #15 and #16 may not work in a child care position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: The files for Staff Person's #1, #2 and #8 lacked written annual evaluations completed by the Director.

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: Children were observed to utilize a "library classroom" that had not been measured, inspected and added on to the facility capacity.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: In the Front Classroom two outlets were missing from receptacle covers on each side of the Kitchen entrance. In the Older Toddler area one outlet under the window was missing a receptacle cover. In the PreK Counts Classroom one outlet next to the cubbies was missing a receptacle cover. In the Preschool Classroom 2 outlets were observed to be missing protective receptacle covers. In the Head Start A classroom two outlets were observed to be missing protective receptacle covers. In the School Age Classroom, where staff reported children may be 5, 1 outlet was observed by the exit, 2 to the left of the entrance to the small room and 2 on the back wall to be missing protective receptacle covers.

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

Noncompliance Area: The closet in the Front Classroom, located outside the office, was observed to be unlocked. Cleaning products including Clorox Clean up and Bleach were located inside the unlocked closet and could be accessible to children. In the School Age Classroom a bottle of GermX hand sanitizer was observed on a low table accessible to children receiving care in the space.

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: An unlabeled spray bottle containing Bleach Water, per the staff, was observed in the PreK Counts Classroom.

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 PreK Counts classroom the First Aid kit was observed to on the floor next to the children's cubbies.

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

Noncompliance Area: The first aid kit in the Front Classroom closet was missing scissors. The first aid kit in the Older Toddler Area was missing tweezers and scissors. The first aid kit in the Young Toddler Area was missing tweezers and scissors. The first aid kit in the Infant Area was missing soap, tweezers and scissors. The first aid kit in the School Age classroom was missing soap and gauze.

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 observe in the Back Classroom restroom, on the wall next to the toilets near the door to the Infant Classroom.

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

Noncompliance Area: A visual strip or other visual identification was missing from the glass door in the Steam Classroom.

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.

Noncompliance Area: Hand washing signs were missing from 3 stalls in the Front Classroom restroom.

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: In the Preschool classroom, that is currently used for napping, cots were observed to be leaned against one of the doors exiting from the classroom.

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

Noncompliance Area: The files for Staff Person #2 and #4 lacked health assessment that had been completed within 12 months prior to starting in a child care taking position.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The file for Staff Person #2 lacked two and the file for Staff Person #4 lacked one written references that attested to their 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 files for Staff Person's #1, #2,, #4 and #5 lacked verification that they received emergency plan training at the time of initial hire.

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 Person #1 lacked verification that they had been fingerprinted for their FBI clearance prior to starting in a child care taking position and a completed clearance was not on file prior. The disclosure statement for Staff Person #1 also lacked a witness signature. The file for Staff Person #2 lacked a completed NSOR clearance and they have exceeded 45 days as a provisional hire at this time. The disclosure statement for Staff Person #3 lacked a witness statement and a date of signature.

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

Noncompliance Area: * THIRD CITATION. Previously cited on 4/26/19 and 6/25/19. On 11/6/19 Staff Person #8 was observed to be caring for a group of 8 Older Toddler Children in the back Child Care Space while Staff Person #5 changed 3 Older Toddlers in the restroom area. Staff Person #8 reported that they were not aware of who they were responsible for as they were not typically in that classroom. Upon returning to the classroom, Staff Person #5 did report being responsible for 5 older toddlers throughout the day however not all 5 older toddlers had been with them in the restroom being changed and Staff Person #8 was unaware of what children they were responsible for. Staff Person's #3 and #7 were observed to be assigning groups of children as Certification Rep was talking with Staff Person #8. Upon arrival to the facility Certification Rep had observed Staff Person #7 in the front classroom and they had not been in the needed staff:child ratio with Staff Person #3.

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: The health assessment on file for Facility Person #9 lacked the physician's assessment of their suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The file for Facility Person's #8 and #9 lacked two written, nonfamily references that attested to their 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 Facility Person #8 and #9 lacked verification that they had received emergency plan training at the time of initial hire.

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 Facility Person #8, a Provisional hire, lacked a completed State Police, Child Abuse, FBI and NSOR Clearance. Facility Person #8 was observed to be caring for a group of 8 older toddlers without direct supervision of a Staff Person.

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

Noncompliance Area: The file for Facility Person #8, who was observed to be caring for a group of 8 older toddlers, lacked verification of education and experience to qualify them for a position at the facility.

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.

Noncompliance Area: ** At approximately 4:15 pm Staff were observed to be noncompliant with the required staff child ratios. One staff person was observed to be caring for 9 young toddlers in one area in the back child care space and another staff person caring for 8 older toddlers in another area of the back child care space. Based on a complaint investigation it was verified that staff:child ratios have been an ongoing issue at the facility.

Correction Required: ** The required staff:child ratios must be maintained at all times. The legal entity must maintain documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. This documentation will be maintained daily at a minimum of 3 months. The legal entity will confirm continuing compliance by maintaining copies of the documentation that will be requested by Region Office Certification Representative at the time of unannounced monitoring visits.

Noncompliance Area: In the School Age Classroom one cracked bin with a sharp edge was observed. In the Large Front Child Care Space one cracked bin with a potential pinch point was observed.

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 high chair in the Infant Classroom was observed to be missing a safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: The Rest Equipment in Classroom's #3, #4 and #5 were not labeled for use by an individual 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.

Noncompliance Area: The file for Children #1, #2, #3 and #6 lacked approved child service reports.

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 agreement form for Child #5 lacked the arrival and departure times for the child.

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

Noncompliance Area: Agreements that included orignial parent signatures were observed in the files for Children #1, #2, #3, #4, #5, #6, #7 and #8.

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

Noncompliance Area: The file for Child #5 lacked the physician information.

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 emergency contact form for Child #8 lacked the policy number for the child's health insurance.

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 emergency contact form for Children #2 and #4 lacked the address of 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: An emergency contact form was missing for a child in Classroom #4.

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.

Noncompliance Area: The written emergency transportation plan was not posted in Classroom's #1. #2, #3, #4, or #5.

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: An inhaler was observed in a child's back pack in their cubby in Classroom #5. The back pack was accessible to the children in the classroom. Written instructions from the physician were not on file for the inhaler.

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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: In the medication box in the staff room off of the Large Front Child Care Space an unlabeled Benedryl liquid, an unlabeled benedryl cream and an unlabeled coritzone cream were observed. In the medication box under the sink in the changing area of the Back Classroom one unlabeled Bendryl liquid was observed.

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: In the staff room located off of the Large Front Child Care Space an expired Benedryl cream, cortizone cream and Diazepam Gel were observed to be expired.

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

Noncompliance Area: A medication log was missing for a Pedia Care Fever Reliever that was observed in the medication box in the staff room off of the Large Front Child Care Space. In Classroom #5 an inhaler was observed in a child's backpack and a medication log was not in place.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: The soap dispensor in the Restroom in Classroom #5 was not working. Staff Person #2 reported having the children use hand sanitizer in place of washing hands with soap. The soap dispensor in the Restroom in the Back Child Care Space was not working. Staff reported that they had removed the batteries as the dispensor had been beeping. Another source of soap was not in place.

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.

Noncompliance Area: A bar of soap was observed to be in use in the restroom between Classroom's #3 and #4.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Noncompliance Area: The file for Facility Person #2 lacked an initial health assessment. The file for Facility Person #6 lacked a current health assessment. The file for Facility Person #13 lacked an initial health assessment that had been completed within 12 months prior to starting in a child care position.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The file for Facility Person's #2, #9, and #13 lacked a tuberculosis screening that had been completed within 12 months prior to starting in a child care position. *11/15/19 Director submitted a letter that Facility Person #13 is not working at the facility and will not return without a tuberculosis screening.

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: In Classroom #4 a lunchbox containing a meat and cheese lunchable was observed in a child's cubby. In another cubby in Classroom #4 a paper bag containing a meat and cheese sandwich was observed.

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

Noncompliance Area: Written feeding schedules were missing for two infants receiving care in the Infant area in the back classroom.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The updates to the emergency contact form and financial agreement for Children #5 and #6 have exceeded 6 months at this time.

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 Facility Persons #7, #8, #9, #10, #11, #12, #13 and #14 lacked verification that they had received emergency plan training at the time of initial hire.

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: Based on the birth date and the start dates listed for Facility Person #7 they would have started as a Volunteer prior to turning 16 years old.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.

Noncompliance Area: The file for Staff Person #1 lacked 6 hours of annual training.

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

Noncompliance Area: The files for Facility Person's #1, #3, #5 and #15 lacked completion of Mandated Reporter training within 90 days of hire. The file for Facility Person #2 lacked a DHS FBI Cleance. The FBI Clearance on file was for DOE purposes. Facility Person #2 was observed alone with a group of preschool children. The disclosure statements on file for Facility Person's #7, #8, #9, #10, #11 and #12, Volunteers at the facility, lacked Volunteer Disclosures. The Disclosure forms on file were for Employment Purposes.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: The file for Staff Person #4 lacked a current staff evaluation.

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: In Classroom #5 one outlet was observed to be missing a protective receptacle cover. In the Infant Classroom one outlet was observed to be missing a protective receptacle cover.

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

Noncompliance Area: A bottle of Hand Sanitizer and a container of Lysol wipes were observed on a low shelving system in Classroom #5. An unlocked storage room was observed off of the School Age Classroom and a bottle of Lysol Cleaner and Windex were observed on a table in the 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 garbage can in the large front classroom and a garbage can in the School Age Classroom were observed to contain bowls and cups used for meals and a lid was not in place.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: A first aid kit was missing from the School Age Computer Classroom.

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

Noncompliance Area: The first aid kit in the School Age Classroom was observed to be sitting on a chair making it accessible to children.

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

Noncompliance Area: The first aid kit in the Large Front Child Care Space was observed to be missing tape. The first aid kit in Classroom #5 was observed to be missing scissors.

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 around the soap dispensor in the Back Child Care Space restroom.

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