Creative Minds Child Care Learning Center Llc

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection the certification representative viewed the children's file child #1 was missing and up to date signature and date on the emergency contact form.

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.

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection the certification representative viewed the children's files child #4 was missing a written exemption letter the file. (Child is missing the Rotavirus shot)

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection the certification representative viewed the staff files staff #1 was missing an employment verification in the file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection the certification representative viewed the staff files staff #1 pediatric first aid cpr was not taken by a PQAS certified trainer.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection the certification representative viewed the staff files, staff #1 and #2 were missing staff evaluations in the file.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through, and observed the water temp was too high .

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection the certification representative requested to view the children files, children's #1, #2, #3, #4 and #5 were all missing CSR's in the file.

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: 3270.123(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: During the renewal inspection the certification representative reviewed the children's files, child # 4 was missing the arrival and departure times on the emergency contact form. child #4 was also missing the release person on the financial agreement.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection the certification representative requested to view the children's file child #1 was missing the enrolling parent work address.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: During the renewal inspection the certification representative reviewed child #2 file, child # 2 is missing information on disability.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walkthrough, when arriving to the 3-year-old room the certification representative viewed the emergency contacts for the children in the room and noticed that one of the children did not have an emergency contact form in the folder.

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

Regulation: 3270.131(d)(8)/3270.131(e)(2)(i)

Description: Age appropriate screenings complete/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection the certification representative reviewed the children's files child #1 file, child #1 is missing the varicella and rotavirus vaccines. There was no exemption/refusal letter in the file. Child #3 was missing the rotavirus and the flu shot, Child # 4 is missing MMR, flu shot, and hep A Child #5 was missing flu shot and Hep A

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the certification representative requested to view the emergency plan, The plan did not include the centers plan for continuity of care.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and observed the emergency contact numbers were missing in each room childcare space room.

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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walkthrough and observed the first aid kit in the infant room was missing soap.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 will have until 5/23/23 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person # 1 may not work in a child-care position at the facility.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection conducted on 9/22/22, the refrigerator in the kitchen area next to the older Pre-k room had a temperature of 60 degrees.

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.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted on 9/22/22, child #1 did not have an insurance provider on their emergency contact information form.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted on 9/22/22, provider did not have documentation of annual emergency drill conducted at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted on 9/22/22, there was no evidence that the facility's emergency plan was sent to local municipality and county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection conducted on 9/22/22, Certification Representative observed an outlet with out a protective outlet cover accessible to children in the bathroom next to the older Pre-K room.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: At the time of the inspection staff person #1 was caring for child in the facility and not wearing a face covering as per CDC guidance.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the record of staff person #2 was lacking a National Sex Offender Clearance.

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 # 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. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: At the time of the inspection staff member #4 was outside of the building, and entering at the same time as certification representative. Staff member #3 was in the facility with a group of 6 children including a one year old.

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. The required staff:child ratios must be maintained at all times. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Noncompliance Area: ON 2/18/20 DURING THE RENEWAL INSPECTION, STAFF #5 (START DATE 2/18/20) WAS PUT IN THE INFANT ROOM AND NOT MADE FAMILIAR WITH THE CHILDREN. SHE COULD NOT NAME THE THREE INFANTS IN THE ROOM.

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: ON 2/18/20 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF INFLUENZA VACCINE ON FILE FOR CHILD #1, #2 OR #3.

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

Noncompliance Area: ON 2/18/20 DURING THE RENEWAL INSPECTION, THERE WAS NOT A CURRENT COPY OF THE LIABILITY INSURANCE ON THE PREMISES.

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.

Noncompliance Area: ON 2/18/20 DURING THE RENEWAL INSPECTION, THERE WERE NO WRITTEN, NONFAMILY REFERENCES ON FILE FOR STAFF #5 AND #6.

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: ON 2/18/20 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF THE REQUIRED 6 HOURS OF CHILD CARE TRAINING ON FILE FOR STAFF #1, 2, AND 3.

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

Noncompliance Area: ON 2/18/20 DURING THE RENEWAL INSPECTION, STAFF #4, AN AGS AT THE FACILITY, HAD A VOLUNTEER CHILD ABUSE CLEARANCE. STAFF #6, HIRE DATE 2/10/20, DID NOT HAVE DOCUMENTATION THAT THE NSOR WAS SUBMITTED.

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: ON 2/18/20 DURING THE RENEWAL INSPECTION, THERE WAS INSUFFICIENT DOCUMENTATION TO QUALIFY STAFF #5 FOR THE DIRECTOR POSITION. THERE WAS NO DOCUMENTATION OF 30 CREDITS AND 2 YEARS OF EXPERIENCE.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Noncompliance Area: ON 2/18/20 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF QUALIFICATIONS ON FILE FOR STAFF #6.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: ON 2/18/20 DURING THE RENEWAL INSPECTION, RATIOS WERE NOT CONSISTENTLY MAINTAINED. ON SEVERAL OCCASSIONS, STAFF #2 WAS OBSERVED NODDING OFF IN THE CHAIR WHILE HE WAS COUNTED IN RATIO. ON ANOTHER OCCASSION, STAFF #1 LEFT STAFF #2 ALONE WITH 6 YOUNG AND OLDER TODDLERS TO COVER IN THE PRESCHOOL ROOM.

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

Noncompliance Area: ON 2/18/20 DURING THE RENEWAL INSPECTION, THE FIRST AID KIT IN THE PRESCHOOL ROOM WAS ON THE CHILDREN'S COMPUTER TABLE ACCESSIBLE TO CHILDREN.

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

Noncompliance Area: ON 4/10/19 DURING AN UNANNOUNCED INSPECTION, STAFF #1 WAS ALONE WITH 9 CHILDREN RANGING IN AGE FROM INFANT TO SCHOOL AGE FROM 7:30 TO 7:40. AT 7:40, STAFF #2 TOOK 2 INFANTS IN THE INFANT ROOM, LEAVING STAFF #1 WITH 7 CHILDREN FROM 1 YEAR OLD TO SCHOOL AGE UNTIL STAFF PERSON #3 CAME IN AT 7:50.

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

Noncompliance Area: ON 4/10/19 DURING AN UNANNOUNCED INSPECTION, STAFF #1 WAS ALONE WITH 4 CHILDREN AT 7:15AM.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WERE PLASTIC BAGS IN AN UNLOCKED CABINET UNDER THE SINK IN THE INFANT ROOM.

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

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO WRITTEN PLAN OF DAILY ACTIVITIES AND ROUTINES POSTED IN THE INFANT ROOM.

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

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, UPON ARRIVAL AT THE PROGRAM, THERE WAS AN INFANT IN THE INFANT ROOM WITH NO STAFF PERSON, AND CHILDREN WALKED UNATTENDED FROM THE TODDLER ROOM TO THE PRESCHOOL 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: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT FOR CHILD #2 DID NOT SPECIFY THE AMOUNT OF THE FEE OR THE DATE ON WHICH THE FEE IS TO BE PAID.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT OF CHILD #2 DID NOT SPECIFY THE SERVICES TO BE PROVIDED. THERE WAS NO CHILD SERVICE REPORT IN THE PREVIOUS 6 MONTHS FOR CHILD #1 AND #5.

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: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT OF CHILD #2 DID NOT SPECIFY THE ARRIVAL AND DEPARTURE TIMES OR THE PERSONS DESIGNATED TO WHOM THE CHILD MAY BE RELEASED.

Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION DID NOT INCLUDE WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE FOR CHILD #2.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION FOR CHILD #2 DID NOT INCLUDE HEALTH INSURANCE COVERAGE OR POLICY NUMBER.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO INITIAL HEALTH REPORT IN THE PRESENTED FILE FOR CHILD #2 OR #3 OR #4.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE MOST RECENT HEALTH REPORT ON FILE FOR CHILD #1 (BIRTHDATE 2/2/16) WAS DATED 1/30/18. THE MOST RECENT HEALTH REPORT ON FILE FOR CHILD #5 (BIRTHDATE 3/10/17) WAS DATED 9/7/17.

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.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, AN INFANTS HANDS WERE NOT WASHED AFTER DIAPERING.

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

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE MOST RECENT HEALTH ASSESSMENT ON FILE FOR STAFF #9 WAS DATED 9/30/16.

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: ON 2/21/19 DURING THE RENEWAL INSPECTION, CHILD #2 WAS TRANSPORTED BY THE FACILITY AND THERE IS NO WRITTEN PARENTAL CONSENT ON FILE FOR TRANSPORTATION.

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, STAFF #1 AND #2 TRANSPORTED 6 CHILDREN TO THE FACILITY INCLUDING 1 INFANT REQUIRING A 4:1 RATIO NOT INCLUDING THE DRIVER.

Correction Required: The staff-child ratios specified in 3270.51 and 3270.52 apply when infant, young or older toddler and preschool children are transported.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, STAFF #1 AND #2 TRANSPORTED 6 CHILDREN, INCLUDING 1 INFANT IN A VAN WITH 7 SEATS AND SEATBELTS.

Correction Required: Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO FILE FOR CHILD #3 WHO WAS PRESENT AT THE FACILITY.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID FOR CHILD #2.

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

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO INDICATION OF TRAINING ON THE EMERGENCY PLAN FOR STAFF #2, #4, #6.

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: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF MANDATED REPORTER TRAINING IN THE PRESENTED FILE FOR STAFF #3. THERE WAS NO DOCUMENTATION OF STATE POLICE CLEARANCE FOR STAFF #6. THERE WAS NO DOCUMENATION OF CHILD ABUSE CLEARANCE IN THE PRESENTED FILE FOR STAFF #8. STAFF #6 AND #8 MUST BE REMOVED FROM THEIR CHILD CARE POSITION UNTIL ALL CLEARANCES ARE PRESENTED.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6 AND #8 may not work in a child care position at the facility.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF STAFF EVALUATIONS IN THE PAST 12 MONTHS IN THE PRESENTED FILES FOR STAFF #1, #2, #5, #6.

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 2/21/19 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF 2 YEARS OF EXPERIENCE TO QUALIFY STAFF #4 FOR THE DIRECTOR POSITION.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE FACILITY WAS OPERATING WITHOUT A QUALIFIED DIRECTOR. THERE HAS NOT BEEN A QUALIFIED DIRECTOR SINCE AT LEAST 8/9/18.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: ON 2/21/19 DURING THE RENEWAL INSPECTION, THE FIRST AID KIT IN THE TODDLER ROOM WAS IN AN UNLOCKED CABINET UNDER THE SINK AND ACCESSIBLE TO CHILDREN.

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

Noncompliance Area: ON 10/24/18 DURING AN UNANNOUNCED VISIT, THERE WAS NO ONE QUALIFIED AS A DIRECTOR EMPLOYED BY THE FACILITY. A DIRECTOR HAS NOT BEEN PRESENT AT THE FACILITY SINCE 8/9/18.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: ON 10/24/18 DURING THE COMPLAINT INVESTIGATION, THE CHILDREN WERE SERVED CHICKEN NUGGETS AND FRENCH FRIES AND JUICE FOR LUNCH.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Noncompliance Area: ON 10/24/18 DURING THE COMPLAINT INVESTIGATION, THE CHILDREN WERE SERVED CHICKEN NUGGETS, FRENCH FRIES AND JUICE FOR LUNCH.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Noncompliance Area: ON 8/9/18 DURING AN UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN THE CHILD CARE SPACE FOR CHILDREN RECEIVING CARE IN THE INFANT ROOM.

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: ON 8/9/18 DURING AN UNANNOUNCED INSPECTION, STAFF #1 DID NOT WASH THE HANDS OF CHILD #1 AFTER DIAPERING.

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

Noncompliance Area: ON 8/9/18 DURING AN UNANNOUNCED INSPECTION, THERE WERE BOTTLES THAT WERE NOT LABELED WITH A CHILD'S NAME.

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

Noncompliance Area: ON 8/9/18 DURING AN UNANNOUNCED INSPECTION, STAFF #2 WAS ALONE WITH 16 CHILDREN AGES 1 YEAR TO 8 YEARS.

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

Noncompliance Area: ON 8/9/18 DURING AN UNANNOUNCED INSPECTION, THERE WERE 16 CHILDREN AGES 1 YEAR TO 8 YEARS IN A ROOM THAT MEASURES FOR 8, EXCEEDING THE MAXIMUM CAPACITY FOR THE ROOM.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: ON 8/9/18 DURING AN UNANNOUNCED INSPECTION, THERE WERE UNUSED OUTLETS THAT WERE UNCOVERED AND ACCESSIBLE TO CHILDREN UNDER 5 YEARS OF AGE IN THE TODDLER ROOM, THE KITCHEN AREA, THE SCHOOL AGE ROOM AND THE PRESCHOOL ROOM.

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

Noncompliance Area: ON 8/9/18 DURING AN UNANNOUNCED INSPECTION, THERE WAS NO HANDWASHING SIGN AT THE SINK IN THE INFANT ROOM.

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: At the time of the renewal inspection, the file of child #2 did not have a 6 month 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: At the time of the renewal inspection, the emergency contact information for the children was not in the appropriate rooms while the children were receiving care.

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: At the time of the renewal inspection, the file of child #1 did not have an updated health report.

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

Noncompliance Area: At the time of the renewal inspection, the file of staff #8 did not have a completed health assessment prior to providing initial service in a day care setting.

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: At the time of the renewal inspection, the file of staff #8 did not have 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: At the time of the renewal inspection, there was no verification that staff #9 or #10 had annual emergency plan training.

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: At the time of the renewal inspection, the file of staff #4 did not have verification that fire safety training was completed even though it was completed by other staff on 2/19/18. The files of staff #9 and #10 did not have fire safety training which is needed if they are considered staff transporting schoolagers.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: At the time of the renewal inspection, files of staff #1-12 did not have 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: At the time of the renewal inspection, the file of staff #9 did not have verification of the mandated child abuse reporting 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: At the time of the renewal inspection, the file of staff #2 had an FBI clearance which was dated 10/15/12 and therefore more than 5 years old. The file of new staff #8 did not have verification that the child abuse clearance was applied for and therefore cannot be considered a staff person. The file of staff person #9 did not have the rap sheet attached to FBI clearance and therefore cannot be the bus driver.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person may not work in a child care 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.

Noncompliance Area: At the time of the renewal inspection, staff completed first aid training on line and not acceptable. Staff #1 had first aid training which expired on 3/15/18. Staff #7 has first aid training acceptable until 11/12/18; however she is not on site at all times and therefore another staff person must be certified in first aid.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: At the time of the renewal inspection, the director had not completed annual written evaluations on all staff.

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: At the time of the renewal inspection, hot water temperature in the sink in the preschool room bathroom measured 118 degrees F.

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

Noncompliance Area: At the time of the renewal inspection, the first aid kit in the 2 year old room had no scissors, tape tweezers, gauze and rubber gloves.

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

Noncompliance Area: At the time of the renewal inspection, operating fans were observed in the child care space that posed a visible hazard while the children were playing. Additional fans were also found in the infant play space creating a visible hazard.

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

Noncompliance Area: At the time of the renewal inspection, the cribs in the infant room were not labeled for the use of a specific child.

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

Noncompliance Area: At the time of the inspection, it was observed that the freezer in the infant room needed to be defrosted.

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: The file of child #2 did not have an agreement form.

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

Noncompliance Area: The files of children #5, 6 and 7 did not have an emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The emergency contact forms of child #1, 3 and 4 did not contain the addresses of the release people designated by the parents.

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 of facility person #4 did not have adequate documentation that the TB screening was completed.

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: At the time of the renewal inspection, the letter to the local traffic safety authorities had not been updated annually.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program`s use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: The file of staff #3 did not have verification of age.

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

Noncompliance Area: The files of staff # 1, 4 and 5 did not have a current signed disclosure statement.

Correction Required: 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: Documentation of emergency plan training for staff #2 and #5 could not be located at the time of the renewal inspection.

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 of staff #2 did not have verification of 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.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 of staff #1 had transcripts to indicate she obtained her six hours of annual training but the transcripts did not identify her name; therefore, they could not be accepted. The file of staff #2 were missing verification of six hours of annual 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 of facility person #5 who is a bus aide did not have a copy of the FBI clearance. In addition, the State police clearance was a volunteer clearance as opposed to an employment clearance needed to be a facility person.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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: At the time of the renewal inspection, chipped paint was observed in Room #2 (small room) and Room #5 (infant sleep room).

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