Montgomerys Country Kids Iii

Noncompliance Area: In the preschool room, observed a three tier book case which was unsteady and wobbled when touched. In the outside play space, observed a red and blue tricycle which had a crack on the plastic seat causing a pinch point.

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 #4 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 most recent child service report on file for child #2 was not completed within the past six months and was due in the file prior to regulatory suspension date of 3/6/20. Most recent child service report on file is dated 5/14/19.

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 information on file for child #1 lacks a health insurance policy number. The emergency contact information on file for children #3 and 4 lacks a health insurance policy number and the address of individuals designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The older toddler room lacked a conspicuously displayed medical emergency transportation plan.

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 #4, lacked an initial health assessment within 60 days of enrollment and was due in the file prior to regulatory suspension date of 3/6/20. There are no health assessments on file.

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 files for child #1 and #2, both who are older toddlers, lack an updated health assessment within the past 12 months and health assessments were due in the file prior to regulatory suspension date of 3/6/2020.

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 files for children #1, 2, 3, and 4 lack verification that immunizations are in accordance with the schedule recommended by the ACIP.

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: There was more than 24 months between the previous and most current and updated health assessment on file for staff #1.

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 files for staff #3 and 4 lack a TB screening within 12 months prior to working in a child care position.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The files for staff #5 and 6 lack one written, nonfamily reference 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: There was more than 60 months between the previous and most current mandated reporter trainings on file for staff #2. Dates are as follows: 6/29/15 and 8/30/20.

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

Noncompliance Area: There was more than 60 months between the previous and most current State Police and Child Abuse clearances on file for staff #2. Dates are as follows; State Police - 3/30/15 and 8/27/20, Child Abuse- 3/30/15 and 9/1/20. The file for staff #3 lacked a National Sex Offender Registry certificate by 7/1/20 and the current State Police clearance has record for control but rap sheet is not attached. There is no National Sex Offender Registry certificate on file. The file for staff #4, with start date of 8/17/20, lacked a National Sex Offender Registry certificate on or before initial start in a child care position. There is now an NSOR on file and dated 8/24/20. The file for staff #6, who has lived outside of PA within the past 5 years, lacks an Ohio State Police, Ohio Child Abuse, and Ohio Sex Offender Registry check on or before initial date in a child care position. There are no out of state clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 3 and #6-- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: Observed sanitizer spray in the infant room and older toddler room which lacked a label that specifies the contents.

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: On the back wall of the preschool room, observed a two inch hole. In the preschool room, observed a 12 x 8 ft. alphabet carpet. Most of the carpet was dirty, all 4 corners were frayed and ripping, and the middle gathered causing a tripping hazard to the children in care.

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: Under the front deck of the facility and on the foundation wall located to the right of the front deck, observed peeling paint.

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

Noncompliance Area: In the outside play space, observed a basket ball hoop which had three cracks in the bottom of the base and a yellow and red ride on toy which had two cracks on the back area of the toy. In the downstairs toddler room, observed a blue toy bin which had multiple cracks on the side. These cause pinch and crush points to the children in care.

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: In the infant room, observed Hyland Gas Drops which lacked the name of the child for whom the medication 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.

Noncompliance Area: The initial health assessment on file for staff #1 lacks an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's 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: The files for staff #1 and 2 lacked verification of age.

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

Noncompliance Area: The file for staff #1 lacks one written, nonfamily reference 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 facility's current certificate of compliance was not posted.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The files for staff #1 and #2 lack verification of emergency plan training within one week of start date. There is no emergency plan training on file.

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 file for staff #1, with start date of 1/27/2020, lacked a disclosure statement and a National Sex Offender Registry certificate on or before initial date in a child care position. There is no disclosure statement or NSOR on file. The file for staff #2, with start date of 10/15/2019, lacks a witness signature and date on the disclosure statement and a National Sex Offender Registry certificate on or before initial date in a child care position. There is no NSOR on file.

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

Noncompliance Area: The file for staff #1, who holds the title of assistant group supervisor, lacks verification of qualifications. The file for staff #2, who holds the title of assistant group supervisor, lacks verification of a high school diploma. There is 2500 hours of child care experience on file.

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 downstairs Toddler room, observed sunscreen which was labeled, "Keep out of reach of children", on a shelf which was in reach of children.

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: Observed that the outside left front green entrance door has a four inch area of peeling paint on the middle of the door. Observed that the 7 front deck steps which lead up to the facility, the front deck of the facility, and the frame of the two entrance doors, have areas of peeling brown paint.

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 most current fire drill on file at the facility was dated 8/12/2019.

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

Noncompliance Area: In the outside play space, observed a black and yellow big wheel which had a seat that was cracking and falling off.

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 current fee agreement on file for child #3 lacks the date the payment is to be made and the services to be provided.

Correction Required: An agreement shall specify the date on which the fee is to be paid. 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 last child service report on file for child #1 was completed on 3-14-19. The last child service report on file for child #4 was completed on 10-5-18.

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 information on file for child #2 lacks a health insurance policy number. The emergency contact information on file for child #3 lacks the address of all release persons.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: There was more than 6 months in between reviews of the fee agreement and emergency contact information on file for child #4. Fee agreement and emergency contact information was reviewed on 9-12-18 and then on 7-15-19.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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 current immunization record on file for child #4 lacks verification of a flu shot within the past year.

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 #1 lacked an initial health assessment within 12 months prior to start date in a child care position. There is a current health assessment on file. There was more than 24 months between the previous health assessment and the most current and updated health assessment on file for staff #4.

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: There was more than 12 months in between the previous emergency plan training and the most current emergency plan training on file for staff #5. Training was completed on 5-18-18 and then on 6-4-19.

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 file for staff #1 lacked a State Police clearance on or before initial date in a child care position. Hire date was 1-29-19 and State Police clearance is dated 2-11-2019. The file for staff #2 lacked the clearance forms required under the CPSL for FBI, State Police, and Child Abuse on or before initial date in a child care position. The correct State Police clearance is now on file and dated 9-5-19. The Child Abuse clearance on file is for volunteer purposes and dated 1-16-19. There is no FBI clearance on file. The file for staff #7, with hire date of 9-16-2019, lacked a disclosure statement on or before initial date in a child care position. There is a current disclosure statement on file and dated 9-20-19. The file for staff #8 lacks the FBI clearance required under the CPSL. The current FBI clearance on file is from the Department of Education. The file for staff #9 lacked clearances on or before initial date in a child care position. Staff #9 was hired on 6-11-19. State Police clearance is dated 6-21-19, Child Abuse Clearances is dated 7-3-19, and FBI clearance is dated 6-28-19. The file for staff #10, with hire date of 3-6-19, lacked a disclosure statement on or before initial date in a child care position. There is now a disclosure statement on file and dated 4-2-19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 and #8 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff #3, who holds the title of director, lacked verification of 12 credit hours in the human services field. The files for staff #6 and 7, who hold the title of assistant group supervisor, lack verification of a high school diploma. There is 2 years of experience on file for staff #3, 6 and 7.

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 downstairs preschool room and near the door, observed an electrical outlet which lacked 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: Observed that the landline phones in the preschool room, young toddler room, and office lacked the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center posted by each phone.

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

Noncompliance Area: On the front porch, observed the point of a sharp screw sticking out of the railing which was in reach of children. In the infant room, observed that the covering which holds the plastic flooring near the high chairs was coming loose and the carpet was stained near the fridge and high chairs.

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: In the outside play space, observed peeling paint on the side behind the lattice board. On the front entrance, observed chipping and peeling paint on the green framing around the outside of the green doors and chipping and peeling paint on the two green front doors.

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

Noncompliance Area: There was more than 60 days between fire drills. Fire drills were conducted on 10-8-18, 12-10-18, and 2-11-19. Fire drill were conducted on 4-8-19, 6-10-19, and 8-12-19.

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

Noncompliance Area: In the infant room, observed an 11 month old infant sleeping in a crib with a sleeping bag that had a large stuffed animal in the shape of a pillow attached.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: At approximately 1:00 PM, observed six preschool age children napping in the preschool room. It was completely dark in the room and when naming the children, staff #4 had to use a flashlight on her phone to look to see who the children were. Therefore, staff #4 was unable to properly see and assess the children in the room.

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: The file for staff #1 lacks an initial health assessment within 12 months prior to providing initial service in a child care setting. There is no health assessment on file.

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

Noncompliance Area: The facility's current certificate of compliance was not posted.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The file for staff #2, with hire date of 11-19-2018, lacked emergency plan training within on week of hire. There is no emergency plan training on file.

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 file for staff #3, with hire date of 09-10-2018, lacked mandated reporter training within 90 days of hire. There is current mandated reporter training on file and dated 2-1-2019. The file for staff #4, with hire date of 9-6-2018. lacked mandated reporter training within 90 days of hire. There is no mandated reporter training on file for staff #4.

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 hire date of 1-29-2019, lacks a completed disclosure statement and a State Police clearance. The file for staff #2, with hire date of 11-19-2018, lacks a completed disclosure statement and an FBI clearance. The file for staff #3, with hire date of 9-10-2018, lacks an FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1, 2, and 3 -- may not work in a child care position at the facility. .A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff #1, who holds the title of assistant group supervisor, lacks verification of 2 years of experience with children.

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: In the Preschool room, observed a cracked toy bin. In the outside play space, observed a big wheel with a cracked plastic wheel.

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 child #2, lacks a child service report within the last six months. The most current child service report on file for child #2 is dated 02-01-2018.

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 fee agreement on file for child #3 lacked the child's arrival and departure times.

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

Noncompliance Area: The files for children #1 and #4 lacked all addresses of the individuals designated by the parent to whom the child may be released.

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 file for child #2, who is of preschool age, lacked a current and updated health report within the past 12 months.

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: In the preschool room, some of the children are still in pull up diapers. The preschool bathroom lacks a hands-free covered can. In the 1 year old room, observed that the lid to the hands-free can was broken.

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 file for staff #2, lacks an initial health assessment conducted within 12 months prior to providing initial service in a child care setting. There is no health assessment on file.

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

Noncompliance Area: The file for staff #2 lacks a tuberculosis screening by the Mantoux method at initial employment. There is no TB screening on file.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file for staff #2 contains one written, nonfamily reference 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: There was more than 60 months in between Staff #1's Child Abuse and FBI Clearances. Staff #1 was hired on 05-13-2013. There is a Child Abuse Clearance on file dated 05-13-2013 and then on 08-15-2018. There is an FBI Clearance on file dated 05-01-2013 and then on 08-01-2018.

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: There was more than 12 months in between the current staff evaluation and previous staff evaluation for staff #1.

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: On the side exit of the building, there is a wooden deck which leads to the outdoor play space. There were 3 planks on the floor of the deck which were coming loose. In the 2 year old room, observed a large wooden shelf that was previously attached to the wall. This shelf is no longer attached to the wall and could be pulled over by the children causing a visible hazard to the children in care.

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: On the side of the building which is located inside the outdoor play space, observed 4 areas of peeling paint.

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 file for staff #1, who holds the title of assistant group supervisor, lacks verification of the required 2500 hours of child care experience. The file for staff #1 has 909 hours of child care experience and a diploma.

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 #1, with hire date of 10-19-2017, lacked verification of Mandated Reporter training within 90 days of hire.

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 hire date of 10-19-2017, lacked the correct State Police form required under the CPSL. The State Police Clearance dated 02-21-2017 was not for employment purposes.

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 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: In the two year old room, observed disinfectant which lacked a label that specifies the content.

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: At approximately 1:00 PM, certification representative was outside of the age 1 room. The door to the room was closed as the children were attempting to nap. Certification representative heard staff #4 speak to the children in very harsh tones. She yelled, "Get in!" "Sit down now!" and "Enough!"

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

Noncompliance Area: The emergency contact information on file for child #1 lacked the name and policy number of the 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 information on file for child #2 lacked the address of the individual designated by the parent to whom the child may be released.

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 current udpated health report on file for child #2 lacked a review of the child's immunized status.

Correction Required: A health report shall include a review of the child`s immunized status according to recommendations of the ACIP.

Noncompliance Area: In the age 1 room, observed Infant Tylenol labeled for child #3 and Infant Ibuprofen labeled for child #4 The facility files lacked written consent from the parent for administration.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The file for staff #2, with hire date of 09-11-2017, lacked a health assessment on or before initial date in a child care position. There are no health assessments on file for staff #2. Results of a tuberculin skin test result are on file.

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

Noncompliance Area: The file for staff #2 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

Noncompliance Area: The file for staff #1, with hire date of 08-03-2015, lacked verification of the current 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.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 hire date of 08-03-15, lacked a copy of the disclosure statement on or before initial date in a child care position. There is a current disclosure statement on file and date 08-04-2015.

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 #2, who holds the title of assistant group supervisor, lacked verification of a high school diploma or general educational development certificate. The file for staff #3, who holds the title of assistant group supervisor, lacked verification of 2 years experience with children.

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: In the upstairs room on the side of the kitchen, observed Lysol Toilet Bowl cleaner and Disinfectant spray at the bottom of an unlocked cabinet which were accessible to children.

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 both the Infant and Older Toddler rooms, observed a container of sanitizer which did not specify the contents.

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 children's downstairs bathroom, observed a hole in the wall behind the door.

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: In the school age/pre-school outside play space, observed peeling paint and damaged plaster on both bottom sides of the facility which line part of the play space.

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