Ms Leslies Wiggles And Giggles

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At time of inspection, children # 2 and 3 did not have child service reports completed and documented in their records.

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).

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At time of inspection, the parents of child#1 did not provide the address of release person on their child's emergency contact form.

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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: At time of inspection, child #4 did not have reviewed and/or updated emergency contact form within the last 6 months documented in their record.

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 information. 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.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At time of inspection, the parents of child #3 did not have written consent for emergency medical care and minor first aid documented on their record.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: At time of inspection, staff person # 1 did not have updated pediatric first aid and CPR training documented in their record as required.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: At time of inspection, staff person #5 did not have required 12 hours of childcare training documented in their record.

Correction Required: A staff person shall obtain an annual minimum of 12 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of inspection, staff person # 1 who resides out of the state Pa (Delaware) did not have required clearances for Delaware documented in their record. Staff person #2 did not have the NSOR certificate documented in their record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At time of inspection, Staff persons # 1-4 did not have written annual staff 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.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: At time of inspection, the facility had issues maintaining proper staff/child ratios throughout the day due to staffing issues. Staff were out of ratio in the infant room when staff person was answering the door for parents and/or visitors (1 staff person with 2 infants and 3 OT). The facility was out of ratio during meal prep and lunch distribution when staff person needed to leave room to prep for lunch. In addition, facility was out of ratio when a staff person walked to local school to pick up after-school children who were dismissed from early and upon arrival back into the facility and combined with other preschool children. (1 staff person with 8PS & 5 SA)

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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At time of inspection, the first aid kit in the downstairs infant room was missing soap and gloves.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: At time of inspection, there was chipped paint on the walls near bathroom area in the first-floor room #6 being used to serve lunch to the children and in room #7 (green area with bunny on second floor/preschool room). In addition, ceiling tiles the back right hand corner of room #7 were damaged and/or missing and in need of replacement.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At time of inspection, the rest equipment in the upstairs preschool room and the downstairs infant room were not labeled as required for specific children.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At time of inspection, the parents of child # 1 ,2 and 3 did not have address of release person documented on their emergency contact forms.

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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At time of inspection, staff in the infant room did not ensure that a child's hands were washed after diapering as required per regulations.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: At time of inspection, the facility did not have a current copy of insurance documented on file in facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.