Personal Touch Early Learning Center

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection, Staff #3 was observed not actively supervising children while in the bathroom. Staff #3 was observed looking at their cell phone.

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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the emergency contact of child #3 did not include the address of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection, the emergency contact of child #2 did not include the policy number for the child under a family policy or Medical Assistance benefits, if applicable.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact of child #2,3 & 4 did not include 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the carpet in the infant, young toddlers and preschool rooms needed to be cleaned. The baseboards in the Preschool room was disconnected from the wall. The outdoor playground was observed with overgrown weeds and inadequate mulch. Water dripping was observed in the cafeteria from the vent of the HVAC system.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of the inspection, peeled paint was observed in the infant, young toddlers, preschool rooms and the gym.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: At the time of the inspection, the waste receptacle in the infant and toddler rooms were observed without a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection, staff person #2 was unable to name child #11-14 in their primary care 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, the file of staff person #2 did not include a health and safety training and was alone in the infant room at 1:30 PM.

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: 3270.185

Description: Record Retention for One Year

Noncompliance Area: At the time of the inspection, the file of child #1 was unavailable. The child's last day at the facility was in September, 2025.

Correction Required: A copy of the child's record shall be retained at the facility for at least 1 year after termination of service, unless the entire record is transferred by the operator to the parent or guardian or to another agency at the request of the parent or guardian.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: At the time of the inspection, the file of staff person #1 did not include pediatric cpr & first aid training and was alone in the toddler napping room at 1:44 PM.

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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, the file of staff person #3 included a mandated reporter training dated 10/10/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 -- may not work in a child care position at the facility until a completed mandated reporter training. A facility's person record shall include a copy of the completed clearance information required under CPSL.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, the infant and toddler play ground chain link fence had a break in the middle, preventing a continuous, connected structure.

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: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, the refrigerator in the kitchen was inoperative.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, the file of child #1 - #7 did not include the 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).

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: At the time of the inspection, the file of staff person #3 did not include a health assessment.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection, the file of staff person #1 & #2 did not include the annual of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of the inspection, uncovered electrical outlets were observed in the toddler and preschool rooms. Non-compliance was corrected on site.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: At the time of the inspection, diaper cream in the infant room was found in an accessible location to children. The diaper cream was observed on the changing table. Non-compliance was corrected on site.

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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of the inspection, the first aid kit in the older toddler room did not include medical tape. Non-compliance was corrected on site.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, the toilet in the children's bathroom did not have a seat and the seat cover was detached from the toilet.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection, staff person #1 was unable to name each child in her primary care 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: 3270.191

Description: Individual Records

Noncompliance Area: At the time of the inspection, the file of staff person #1 was inaccessible.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection the plastic tree house structure was in need of cleaning, it had a layer of visible dust atop of it.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the inspection in the younger toddler room the rest equipment was not individualized.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of the inspection in the infant room, not all children's bottles were labeled.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection the record of child #1 and child #2 (both having been in care at the facility over 6 months) did not have the required parental written updates.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: At the time of the inspection the record of child #4 did not have a current valid health assessment.

Correction Required: A child's record shall contain initial and subsequent health reports.

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 the time of the inspection the record of child #4 was lacking any of the required consent.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: At the time of the inspection the first aid kit in the preschool room (kings and queens) was accessible to the children in care.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: At the time of the inspection in the school aged room with the blue painted walls and the yellow painted baseboards there were several areas of peeling paint. the Larger toddler room with walls painted red had unfinished repair sites (exposed unfinished plaster). The carpeted area in the one year old space was in need of cleaning (pictures available).

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: At the time of the inspection several of the bathrooms in the faciity were not equipped with a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: At the time of the inspection the director did delay the entrance of the certification representative into the facility.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection the current certificate of compliance was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.63/3270.67(b)

Description: Unsafe Areas in Outdoor Space/Trash removed grounds once/week

Noncompliance Area: At the time of the inspection a defunct changing table that was designated as trash was in the large muscle play space, also in the large muscle play space was a large pile of broken sheet rock that was surrounded by play equipment as a barrier; the barrier was not secure.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Trash shall be removed from the facility grounds at least once per week.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: At the time of the inspection the first aid kit in the large muscle play space was on the bench approximately 3 feet high beside the door to the facility.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Ongoing non-compliance- During the inspection on 2/1/2024 the playpen for child #1 in the Rain Forest classroom did not have at least 2 feet of space on three sides while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Ongoing non-compliance-During the inspection on 2/1/2024 staff persons# 1 and 2 were observed with 19 children in Little Scholars 4 & 5 classroom. Staff person#1 gave responsibility for 9 children, staff person#2 gave responsibility for 9 children, staff persons #1 and 2 did not know that there was 19 children in the classroom.

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. The legal entity must submit documentation in a format approved by DPW proving that the facility procedure for counting children is followed at all times (e.g., a checklist). The legal entity will confirm continuing compliance by sending copies of the documentation to the appropriate Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DPW approves the documentation format

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Ongoing non-compliance-During the inspection on 2/1/2024 staff persons# 1 and 2 were observed with 19 children in Little Scholars 4 & 5 classroom. Staff person#1 gave responsibility for 9 children, staff person#2 gave responsibility for 9 children, staff persons #1 and 2 did not know that there was 19 children in the classroom.

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. Provider will ensure that each staff person will obtain referred training for supervision.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Ongoing non-compliance- During the inspection on 2/1/2024 the Little Scholars 3 room did not have emergency contact information present in a child care space for child #2 receiving care in the space. The Little Scholars 4 & 5 did not have the emergency contact information for child #3,4,5, 6 and 7 receiving care in the space.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the inspection on 2/1/2024 the file for staff person #4 did not include an acceptable health assessment (it did not determine suitability of working in child care, and if the staff person is free from communicable diseases) and the health assessment did not include an initial TB test.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 2/1/2024 the file records for staff person#3 did not include two written, non-family 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the inspection on 2/1/2024 the file record for staff person #4 did not include 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection on 2/1/2024 the file record for staff person #3 included a State Police Clearance without the rap sheet and did not include mandated reporter training. Facility Person #3--- may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: Facility Person #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. Facility Person #3--- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 2/1/2024 the file records for staff person #4 did not include verification of education prior to service at the facility.

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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the inspection on 1/3/2024 the cots for child # 1, 2 in the Beach Babies classroom, and the cot for child#3 in the Kings & Queens classroom did not have at least 2 feet of space on three sides while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the inspection on 1/3/2024 staff person #1 did not know the name one of their assigned children. Staff person #2 was observed with 12 children alone and only gave the responsibility for 6 children. Staff person #3 was observed with 22 children and only provided the names for 11 children.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the inspection on 1/3/2024 the Beach Babies and Kings & Queens classroom did not have emergency contact information present in a child care space for all of the children receiving care in the space.

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: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: During the inspection on 1/3/2024 staff person #1 was observed with 22 children alone at approximately 1:30 pm, the youngest child was a preschool age child.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the inspection on 8/28/2023 staff person#1 did not know the names of the children in their primary group. Staff persons #1 and 4 were observed providing direct child care in the Kings & Queens/ Older Toddlers classroom with 13 children, they provided responsibility for a total of 10. Staff persons #5 and 6 were observed providing direct child care in the Preschool room with 16 children, staff person# 5 provided 5 children for responsibility and staff person provided 9 children for responsibility.

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: 3270.113(a)(2)

Description: Supervision on and facility premises

Noncompliance Area: During the inspection on 8/28/2023 staff person #1 was observed alone with 7 children and the youngest child was an infant.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the inspection on 8/28/2023 the toddler room did not have emergency contact information present in a child care space for all of the children receiving care in the Kings & Queens/Older Toddlers Classroom and the Preschool classroom. .

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1,2 and 6--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet)

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: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the inspection on 8/28/2023 the file for staff persons #1 and 5 did not include an initial 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection on 8/28/2023 the file record for staff person #1 did not include a child abuse clearance and a NSOR. The file record for staff person #3 did not include a completed state police clearance (did not include results). Facility Person #1 and 3--- may not work in a child care position at the facility.

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 #1 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. Facility Person #1 and 3--- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During the inspection on 8/28/2023 the file record for staff person #5 included a high school diploma that was not translated into English.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the inspection on 8/28/2023 staff person #2 was observed alone with 5 children in the Beach Babies/ young toddlers.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection on August 9, 2023, certification representative observed staff #1 change a child's diaper in the infant room and did not wash the child's hands prior to returning them to the childcare portion of the room.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During renewal inspection on August 9, 2023, certification representative observed chipped paint on the giraffe display in the hallway, in the indoor play space, the kings and queens room, little scholars 3 and little scholars 5 rooms. Certification representative observed an area of damaged plaster near the back door exit to the outdoor play space, and a hole in the door of the indoor play space.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: DURING RENEWAL INSPECTION ON OCTOBER 5, 2022, THE RECORD OF STAFF #2 DID NOT CONTAIN A 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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: DURING RENEWAL INSPECTION ON OCTOBER 5, 2022, THE RECORD OF STAFF #2 DID NOT CONTAIN VERIFICATION OF EDUCATION OR EXPERIENCE.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: DURING RENEWAL INSPECTION ON OCTOBER 5, 2022, THE RECORD OF STAFF #2 DID NOT CONTAIN 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING RENEWAL INSPECTION ON OCTOBER 5, 2022, THE RECORDS OF STAFF #1 AND #2 DID NOT CONTAIN OUT OF STATE CLEARANCES AS REQUIRED UNDER THE CPSL. THE RECORD OF STAFF #2 DID NOT INCLUDE THE NATIONAL SEX OFFENDER REGISTRY AS REQUIRED UNDER THE CPSL.

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 Persons #1 AND 2 may not work in a child care position at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: DURING RENEWAL INSPECTION ON OCTOBER 5, 2022, THE WATER TEMPERATURE IN THE BEACH BABIES ROOM MEASURED AT 134°F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: DURING RENEWAL INSPECTION ON OCTOBER 5, 2022, CERTIFICATION REPRESENTATIVE OBSERVED A HOLE IN THE WALL OF THE HALLWAY NEAR THE INDOOR PLAYSPACE.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: DURING RENEWAL INSPECTION ON OCTOBER 5, 2022, CERTIFICATION REPRESENTATIVE OBSERVED AREAS OF CHIPPED PAINT IN THE LITTLE SCHOLARS, INFANTS, BEACH BABIES, KINGS AND QUEENS, AND INDOOR PLAY SPACE.

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

Noncompliance Area: On 1/8/2020, facility staff #1 struck facility child #1 several times with a music stick in the arm/hand area.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: There was an area of peeling paint on the wall in the rear preschool room during the monitoring inspection

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

Noncompliance Area: An unannounced monitoring inspection was conducted on 11/4/2019. -The toddler classroom had 11 children present. When the cert rep asked the staff in the classroom how many children were present, both staff agreed that there were 10 children in their care. (youngest child was 13 months, ratio of 1:5) -The preschool classroom had 2 staff persons. The cert rep counted 17 children in the classroom. When asked how many children were present, one staff person said 21 children and 1 staff person said 22. The cert rep explained that there were 17 children present in the group. The first staff person explained that some children were in the hallway with the director. The other staff person disagreed and said that there were only 17 children on that day, unaware that children had left the classroom with the director. The director had 4 children from that classroom with her in the hallway. At one point the cook had the four children in the kitchen with him.

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: An unannounced monitoring inspection was conducted on 11/4/2019. -The toddler classroom had 11 children present. When the cert rep asked the staff in the classroom how many children were present, both staff agreed that there were 10 children in their care. (youngest child was 13 months, ratio of 1:5) -The preschool classroom had 2 staff persons. The cert rep counted 17 children in the classroom. When asked how many children were present, one staff person said 21 children and one staff person said 22. The cert rep explained that there were 17 children present in the group. The first staff person explained that some children were in the hallway with the director. The other staff person disagreed and said that there were only 17 children on that day, unaware that children had left the classroom with the director. The director had 4 children from that classroom with her in the hallway. At one point the cook had the four children in the kitchen with him.

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: During an unannounced monitoring inspection on 11/4/2019, a review of the children's records found that the records for Child #1, #2, #4, and #5 did not include the child's date of admission.

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

Noncompliance Area: During the unannounced monitoring inspection on 11/4/2019, a review of the children's records found that the emergency contact information for Child #1 and #5 did not contain the health insurance coverage and 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: During the unannounced monitoring inspection on 11/4/2019, a review of the children's records found that the emergency contact information for Child #3, #4, and #5 did not contain the name, address, and phone number of the individuals 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: During an unannounced monitoring inspection on 11/4/2019, a review of the children's records found that the record for Child #2 did not contain a review of the child's immunizations.

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

Noncompliance Area: An unannounced monitoring inspection was conducted on 11/4/2019. When the cert rep entered the building, the infant room (youngest child was 3 months, ratio of 1:4) had 10 children with 2 staff; the first toddler classroom (youngest child was 13 months old, ratio of 1:5) had 11 children with two staff; and the second toddler classroom (youngest child was 13 months, ratio of 1:5) had 21 children with 2 staff.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Southeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During unannounced monitoring on 8/20/19 certification representative reviewed several staff files. Staff # 1 (start date 8/16/19) most recent physical exam was dated 7/6/18 which is more than one year prior to initial start date at center.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: During unannounced monitoring on 8/20/19 certification representative reviewed staff # 2 file. Staff # 2 (start date 5/2017) did not have verification of fire safety training. This is continued noncompliance.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: During unannounced monitoring on 8/20/19 certification representative observed broken floor tiles in Miss Jo's PS room. Cert rep also observed crumbled plaster and a nail on the floor in the corner of the YSA room, an extension cord lying across the floor at the entrance to the YSA room and a vacuum cleaner setting on the floor at the entrance to the YSA room.

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: Child was hit on her arm by another child and had a bruise. Staff did not know what happened.

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: During unannounced monitoring on 7/15/19 at 2:40 pm, certification representative observed a school age child come inside the building from the playground with no teacher.

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: Child was hit on her arm by another child and had a bruise. Staff did not know what happened.

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: A child's arm was injured on 7/2/19. Parent was not given an incident report.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 5 did not have verification of age in fie.

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

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 3, identified as an assistant group supervisor, did not have verification of child care experience, education and training prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training. Verification is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 2 (start date 5/2017) did not have a current health assessment in file (last health assessment was dated 2/27/17). Staff # 5 (start date 6/24/19) did not have an initial health assessment with tuberculin skin test results in file.

Correction Required: 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: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 5 had one of the two required 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: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 3 (start date not given), staff# 4 and # 5 (start date 6/24/19) did not have verification of facility's 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: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 2 (start date 5/2017) did not have verification of an annual minimum of 6 hours of child care training.

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

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative reviewed several files. Staff # 2 (start date 5/2017) did not have verification of fire safety training.

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.

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 2 (start date 5/2017) did not have a state police clearance in file. Staff # 5 (start date 6/24/19) did not have a state police clearance or receipt for applying for clearance in file. Staff # 5 did not have a disclosure statement in file.

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 request for the criminal history record clearance information and a copy of the disclosure statement required under the CPSL. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 and 5 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. .

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 2 (start date 5/2017) did not have a written evaluation in 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.

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative reviewed several staff files. Staff # 4, a group supervisor possessing an AA in Liberal Arts - General Studies, did not have transcripts to verify 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years (3,750 hours) of experience with children.

Correction Required: A group supervisor shall have an associate'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 3 years of experience with children.

Noncompliance Area: During unannounced monitoring on 7/15/19 certification representative observed broken floor tiles in Miss Jo's PS room, carpeting by the 2 sets of double doors in the Little Scholars room that was loose and unraveling, loose rubber molding in the YSA room, and rubber molding that was cracked and loose in the Little Scholars room. Cert rep also observed vomit on the floor in the Little Scholars room.

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: During unannounced complaint investigation on 6/14/19 certification supervisor and certification representative observed cots in use that had less than 2 feet of space on 3 sides in the 3 year old room and the preschool room.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: An older child left the group that was on the playground, went inside the center, got hot water and wanted a younger child to drink it. The younger child refused the drink which resulted in the younger child receiving burns on his face.

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. TIERED LIS: Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During unannounced complaint investigation on 6/14/19 certification supervisor and certification representative asked staff in each room to identify her assigned group. Staff in the school age room by the back door and the older toddler room did not know which children they were responsible for. Staff in the preschool room and older toddler room did not know the names of children.

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.