Oil City Child Development Center

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 11:30am, Staff #1 and Staff #2 were in the playground area with nine toddlers. When interviewed, Staff #1 named five children in their supervisory group. When interviewed, Staff #2 did not know to which children they were assigned. This left four children unaccounted for in terms of group supervision. Given a second opportunity, Staff #1 had to assist Staff #2 with naming the children in their group.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed teeth marks on the foam peg boards in the Chickadees Room. This creates a potential choking hazard for children who may still be placing objects in their mouths.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #1,2, 3, 4, 5, 6 and 7, who have been enrolled for more than 6 months, did not contain child service reports.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in the gym.

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.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The most recent health report in the file for Child #6 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The most recent health assessments in the file for Staff Person #3 exceeded 24 months between assessments.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan trainings in the files for Staff Person #1 and #2 exceeded 12 months between trainings.

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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the file for Staff Person #2 exceeded 12 months between trainings.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.

Regulation: 3270.81

Description: Glass

Noncompliance Area: A visual strip or other visual identification was not place on the glass doors in the Cardinals and Hummingbirds Rooms.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1, lacks a health assessment within 60 days following first day of attendance at the facility. SEE IS CODE SHEET.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1 contains 1 of 3 Pneumococcal vaccinations in accordance with the schedule recommended by the ACIP for the age of the child.

Correction Required: Child #1 must be dismissed from care by close of business on date of provider notification and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The current health assessment on file for child #2 lacks the statement that the child is able to participate and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #4 lacked a TB screening by the Mantoux method on or before initial start date in a child care position. There is now a TB screening on file and dated 9/8/20. SEE IS CODE SHEET.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed and infant bottle in the Dove room which was not labeled with the child's name.

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

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

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

Noncompliance Area: The file for staff #1 lacks 2 hours of child care training from 12/19/22 - 12/19/23. The files for staff #4, 5 and 6 lack 7.5 hours of child care training from 12/19/22 - 12/19/23. The file for staff #7 lacks 5 hours of child care training from 12/19/22 - 12/19/23.

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: The file for staff #2, lacked a disclosure statement on or before initial start date in a child care position. There is now a disclosure statement on file and dated 7/7/22. SEE IS CODE SHEET. The file for staff #3 contained RAP sheets for the PA State Police and FBI clearances. A disposition was not in the file for some of the charges. The file for staff #4 lacks a disclosure statement at re-hire. SEE IS CODE SHEET.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: The glass at the front door of the Dove room lacked a visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On the infant playground a plastic toy climbing tree was observed to be missing a window causing rough edges and sharp corners.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On the infant playground a plastic toy climbing tree was observed to be missing a window that caused foam to be exposed that had a diameter of less than 1 inch accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for staff person #2 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The mandated reporter training in the file is dated 1/9/17 and 1/14/22.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #1 lacked a staff evaluation that was completed 12 months from the previous staff evaluation. The staff evaluations in the file were dated 2/18/21 and 2/24/22.

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: There was more than 12 months between the previous and most current fire safety training on file for staff #1. Dates are as follows: 5/29/18 and 6/10/20.

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: There was more than 12 months between the previous and most current staff evaluation on file for staff #1. Dates are as follows: 1/9/19 and 2/6/20.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In the Robin room, observed that the plastic padded bench covering was ripped along the front side.

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: There was more than 12 months between the previous and most current and updated health assessment on file for child #1, who is an older toddler.

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

Noncompliance Area: The most current health report on file for child #1 lacked a signature by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: In the Dove room, observed A and D ointment which lacked a label with the child's name.

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: There was more than 24 months between the previous and most current and updated health assessments on file for staff #5 and 8.

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 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 start date of 12/17/19 and staff #4, with start date of 12/4/19, lacked emergency plan training within one week of hire. Dates are as follows for both; 6/8/20. There was more than one year between emergency plan trainings for staff #3, 5, 6 and 7. Dates are as follows; 5/6/19 and 6/8/20.

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: There was more than one year between fire safety trainings for staff #3, 5, 6 and 7. Dates are as follows; 5/6/19 and 6/8/20.

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

Noncompliance Area: The file for staff #3 and 6 lacked six hours of annual child care training. The file for staff #5 lacked 2 hours of annual child care training. Trainings were due in the file prior to regulatory suspension date of 3/6/20.

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: There was more than 60 months between the previous and most current mandated reporter trainings on file for staff #3 and 5. Dates are as follows; Staff #3 - 6/17/15 and 7/27/20 and staff #5 - 6/23/15 and 7/28/20.

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: The file for staff #1, with provisional start date of 12/17/2019, lacked an NSOR certificate within the required time frame. There is now an NSOR on file and dated 5/13/2020. The file for staff #4, with start date of 12/4/2019, lacked a disclosure statement, Child Abuse Clearance and NSOR clearance on or before start date in a child care position. Disclosure and clearances are now on file and dated as follows; Disclosure - 9/18/20, Child Abuse - 12/6/19, and NSOR - 5/13/20. The file for staff #6, with start date of 9/30/15, lacked an NSOR by 7/1/20. NSOR is now on file and dated 9/8/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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 maximum number of children served at the facility at any given time is 65. There is only one staff who meets the qualifications of group supervisor when two are required.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: The file for staff #4, who holds the title of assistant group supervisor, lacks 1250 hours of child care experience. There is a CDA on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The emergency contact information on file for children #3 and 4 lack a health insurance 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: The file for child #2, lacked a health report within 60 days of enrollment. There is a current health report now 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 current health report on file for child #1 lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

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.

Noncompliance Area: The file for facility person #6, who has direct contact with the children, lacks verification of health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.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 facility person #6, who has direct contact with children, lacks verification of a TB test.

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 facility person #6, lacks two written, nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The file for facility person #6, with start date of 10-3-2013, lacks verification of any emergency plan training. The file for staff #3, with start date of 3-15-2019, lacks verification of emergency plan training within one week of hire. There is now current emergency plan training on file and dated 4-3-2019.

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 facility person #6, with start date of 10-3-2013, lacks mandated reporter training.

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

Noncompliance Area: In the Robin room, observed a large area rug with multiple dirt spots.

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 Oriole Room, where older toddlers are present, observed 7 staples which were less than 1 inch in diameter in the wall directly above a child's rest equipment and in reach of the child. In the infant's outside play space, observed over 20 twigs on the ground which were less than 1 inch in diameter.

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: Observed a medication log for child #1 for Albuterol where parental consent for administration expired 10-12-2018. Observed a medication log for child #2 for Children's Motrin where parental consent for administration expired 11-1-2018.

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

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: In the Robin Room, observed a blue plastic bench mat with multiple rips.

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 who is a young toddler and who has been enrolled for more than 60 days, lacks an initial health assessment.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: There was more than 12 months in between the most current updated health report and the previous health report for child #1, who is of preschool age.

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: There was more than one year in between the most current emergency plan training and the previous training for staff #1 thru #10. Emergency plan training for staff #1, 3, 4, 5, 6, 7, 8 and 10 was conducted on 05-09-2017 and then on 05-14-2018. Emergency plan training for staff #2 and 9 was conducted on 05-08-2017 and then on 05-14-2018.

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: There was more than one year in between the most current fire safety training and the previous fire safety training for Staff #1 through #10. Fire safety training for staff #1, 3, 4, 5, 6, 7, 8 and 10 was conducted on 05-09-2017 and then on 05-14-2018. Fire safety training for staff #2 and 9 was conducted on 05-08-2017 and then on 05-14-2018.

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

Noncompliance Area: The file for staff #3, with hire date of 02-24-2011, lacked an updated Child Abuse Clearance which was required by 12-31-2015. There are Child Abuse Clearances on file for staff #3 dated 09-29-2009 and then on 01-12-2016.. The file for staff #9, with hire date of 12-07-2015, lacked a Child Abuse Clearance on or before initial date in a child care position. There is a current Child Abuse Clearance on file and dated 12-15-2015.

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: There was more than one year in between the most current staff evaluation and previous evaluation for staff #2, #3, #5, #6 and #9. Staff #2 had an evaluation on 03-01-2017 and then on 04-19-2018. Staff #3 had an evaluation on 01-31-2017 and then on 04-19-2018. Staff #5 had an evaluation on 10-26-2016 and then on 11-13-2017. Staff #6 had an evaluation on 10-06-2016 and then on 11-14 2017. Staff #9 had an evaluation on 11-11-2016 and then on 11-13-2017.

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 outside of the building in the outer play space, there are multiple windows at child level. All of the window frames have sharp metal points at each bottom corner 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: Observed one small area of peeling paint the size of a dime in each of the Hummingbird, Oriole, and Blue Bird Rooms.

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 fee agreement on file for child #1 lacked the name of the health insurance coverage.

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 files for children #2, an infant, and child #3, a young toddler, lack a current updated health report within the past 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child`s record shall contain initial and subsequent health reports.

Noncompliance Area: The facility's current certificate 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 #1, with hire date of 09-29-2011, lacked verification that a current FBI clearance was obtained within the past 60 months. Previous FBI clearance was obtained 09 26-2011 and the current FBI clearance was obtained 09-28-2016. The file for staff #2, with hire date of 09-15-2011, lacked verification that all current clearances were obtained within the past 60 months. States Police Clearance was obtained 09-13-2011 and then 03-14-2017. Child Abuse clearance was obtained on 09-14-2011 and then 03-14-2017, and FBI clearance was obtained 09-13-2011 and then on 03-14-2017. The file for staff #3, with hire date of 06-16-2003, lacked verification that the Child Abuse Clearance on file, which was obtained on 08-23-2005 and was more than 60 months old, was obtained by 12-31-2015. The FBI Clearance on file is dated 01-27-2016.

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: At approximately 10:00 AM, supervison and ratio were observed in the outdoor play space. Staff #4, named 7 older toddlers in her supervisory group. Staff #5 named 7 older toddlers in her supervisory group.Based on a conversation with staff and director, staff #6 was a new hire who was observing and was not assigned any children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3270.51--3270.55.

Noncompliance Area: In the Cardinal Room, observed two toilets which lacked a posted hand washing sign.

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.