Playhouse Childrens Center

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff Person #4 has completed the health and safety course titled "Get Started with Center Bases Care: Building Blocks for Quality (10 Hours) dated 1/30/22 but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

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. Staff Person #4 must complete PA Required Health and Safety for Center-Group Child Care Part 1 and 2.

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 two most recent health assessments on file for Staff Person #3 are dated 7/28/23 and 8/1/25, which are more than 24 months apart.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: It was observed in the pink infant room that there were bottles that were 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)(4)(i)

Description: Age and Training

Noncompliance Area: The two most recent Pediatric Firs-Aid/CPR training certificates on file for Staff Person #6 are dated 9/12/22 and 10/25/24, which are more than 24 months apart.

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: 3270.31(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): PA Required Health and Safety for Center-Group Child Care Parts 1 and 2.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent mandated reporter training on file for Staff Person #5 are dated 7/22/20 and 7/23/25, and for Staff Person #6 are dated 9/17/20 and 1/20/25, which are more than 60 months apart. Staff Person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #2 does not contain an NSOR certificate prior to the time of hire (see LIS code sheet). The file for Staff Person #7 contains a State Police Clearance without a dissemination date, making it invalid. The file for Staff Person #8 contains a Child Abuse Clearance dated 8/29/25, and a NSOR certificate dated 8/27/25, which are both after their hire date (see LIS code sheet).

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. Staff Person #2 may not work in a childcare position at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed that the toilets in the hallway bathroom were lacking handwashing signs.

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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file at the facility listed dates of testing of 10/4/24-12/4/24, which are more than 60 days apart.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The 30-day fire detection testing log on file at the facility listed dates of testing from 10/4/24-11/4/24, 1/3/25-2/3/25, 3/3/25-4/24/25, 4/24/25-6/23/25, and 8/15/25-9/23/25, which are all more than 30 days between testing.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were three exposed bolts observed on the inside of the fence between the cement area and the mulched area.

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: In the Yellow Room, where toddlers receive care, observed foam blocks and wooden pegs that had a diameter of less than an inch.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 9/30/24, naptime was observed. The orange and yellow room were not lighted enough to be able to supervise the children who were napping in the room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #1 lacked a child service report within the past six months. The last child service report was completed in the Fall of 2023.

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(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The fee agreements on file for children #1 and 2 were the originals. Therefore, the original was not provided to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child #1 lacked the address and phone number of the child's physician or source of medical care. The emergency contact information on file for children #2 and 3 lacked the name, address and phone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child #2 lacked the work 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)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information on file for child #7 lacked information on the child's special needs, as specified by the parent, physician, physician's assistant or CRNP.

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(f)/3270.181(c)

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

Noncompliance Area: There was more than six months between reviews of the emergency plan and fee agreements for children # 3, 4, 5, and 6. Dates were as follows: Child #3 - 9/6/23 and 4/24/24, Child #4 - 3/21/24 and 10/1/24, Child #5 - 1/4/24 and 8/20/24, and Child #6 - 11/23/23 and 7/29/24.

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

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: There was more than six months between health reports on file for child #7, who is a young toddler. This is evidenced by the health reports on file which are dated 8/16/23 and 10/2/24.

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

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: There was more than 12 months between health reports on file for child #3, who an older toddler. This is evidenced by the health reports on file which are dated 9/11/23 and 10/3/24.

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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The most current health assessment on file for staff #9 lacks an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The file lacked documentation that the operator sent the most recent copy of the emergency plan to the 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: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: There was more than 12 months between fire safety trainings on file for staff #5. This is evidenced by the fire safety trainings on file which are dated 8/29/23 and 9/17/24.

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.

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

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

Noncompliance Area: The files for staff #2 and 3 lack two of the required 12 annual hours of child care training. The file for staff #8 lacks four of the required annual hours of child care training.

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 #7, who was a provisional hire, lacks an NSOR within 45 days of hire. SEE IS CODE SHEET. The file for staff #8 lacks a DHS FBI clearance within the past 12 months. This is evidenced by the most current FBI clearance on file which is dated 8/21/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -7 and 8- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1, who holds the title of aide, lacks verification of an 8th grade education. The file for staff #3, who holds the title of assistant group supervisor, lacks 500 hours of child care experience. The file for staff #6, who holds the title of aide, lacks verification of an 8th grade education and 2500 hours of child care experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Observed a toxic Peace Lily located in the Green Room.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the cafeteria where the children eat their lunch, observed food, previously eaten by the children in a receptacle that did not have a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.78

Description: Lighting

Noncompliance Area: On 9/30/24, naptime was observed. The orange and yellow room were not lighted enough to be able to see the children who were napping in the room.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: There was more than 30 days between fire detection tests on file for dates of 12/22/23 and 1/26/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space, observed that the grey climbing wall was starting to crack on two sides.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for child #6, who is of preschool age, lacks an updated health assessment within the past 12 months. There was more than 12 months between the previous and most current and updated health assessment on file for child #3.

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for children #1 and 4 lack documentation of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

Correction Required: 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).Children #1 and 5 must be dismissed from care by close of business 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff #2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18. 19, 20, 21, 22, 23, 24 and 25 lack the one hear health and safety updated which was required by 12/30/22.

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)/3270.192(3)

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

Noncompliance Area: There was more than 24 months between the previous and most current and updated health assessments on file for staff #7, 10, 11 and 22.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: There was more than six months between reviews of the emergency plan and fee agreements on file for children #2 and 6. There are now current updates on file. The last update of the fee agreement and emergency contact information on file for children #4 and 5 was not dated within the past 6 months.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: There was more than 60 months between the previous mandated reporter training and the current mandated reporter trainings on file for staff #17 and 18. This is evidenced by the previously documented mandated reporter training on file being dated - Staff #17 - 11/8/17 and 11/27/22 and Staff #18 - 8/19/21 and 8/30/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 lacked an FBI on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 9/19/23. There was more than 60 months between PA State Police clearances on file for staff #25. This is evidenced by the dates of 8/2/18 and 8/4/23.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child #6 lacks the addresses of all persons 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: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report for child #6 was not provided within 90 days of enrollment (regulatory suspensions allowing 90 days for initial health report. A health assessment is now on file and dated 8/24/22. SEE LIS 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.

Regulation: 3270.131(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The files for children #1, 2, 3 and 6 lack a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file for child #1 lacks 1 of the 2 required HEP A vaccinations as in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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)/3270.192(3)

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

Noncompliance Area: The file for staff #1 lacks a health assessment conducted within 12 months prior to providing initial service in a child care setting. There is no health assessment on file. There was more than 24 months between the previous and most current and updated health assessments on file for facility persons #3 and 4.

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

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 and the results of that results of the 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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: There was more than 6 months between the previous and most current reviews of the emergency contact information and the financial agreement on file for children #3, 4, 5, 7 and 8. Reviews are now current.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The two references on file for staff #4 were references from family.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and 8 did not complete the following required pre-service training within 90 days of their date of hire. CPR/FA. There is now training on file and dated - Staff #1 - 9/12/22. Staff #8 -6/26/22. Staff persons #5 and 6 did not complete the following required pre-service training within 90 days of their date of hire. Building Blocks for Quality Health and Safety Training. There is now training on file and dated - #5 - 2/23/22. #6- 2/9/22. SEE LIS CODE SHEET

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

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

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

Noncompliance Area: Mandated reporter training for staff #6 was not provided within 90 days of hire. There is current mandated reporter on file and dated 3/4/22. SEE LIS CODE SHEET.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 lacked an NSOR on or before initial start date in a child care position. There is now an NSOR on file and dated 3/8/22. SEE LIS CODE SHEET. The file for staff #6, who was a provisional hire, provided an application for the NSOR. However, the NSOR was not on file within 45 days. NSOR is now on file and dated 3/4/22. SEE LIS CODE SHEET. There was more than 60 months between the State Police and Child Abuse clearances on file for staff #7. Dates are as follows: PSP - 10/14/16 and 1/13/22. Child Abuse - 11/1/16 and 1/13/22. The file for staff #8, who was a provisional hire, contained an application for a Child Abuse clearance on or before start date. However, the Child Abuse clearance was not on file within 45 days. There is a current Child Abuse clearance on file and dated 3/2/22. Additionally, staff #8 lacked an out of state National Sex Offender Registry check and out of state Child Abuse clearance on or before start date in a child care position. There is now an out of state NSOR check on file and dated 10/12/22 and out of state Child Abuse clearance and dated 1/14/22. DHS FBI is on file and Florida is NFF state. SEE LIS CODE SHEET.

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.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: In the green room, observed a lizard in a glass terrarium which had a heat lamp on top of the terrarium. The lamp measured at 136 degrees Fahrenheit and there were not protective guards or insulation to prevent direct contact.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On the outside of the Brown exit door which leads directly to the outdoor play space, observed that the weather strip on the bottom of the door was coming loose, causing a tripping hazard to the children in care. In the blue room, observed that the top landing area of the reading loft had fraying carpet at the edge of the landing causing a tripping hazard to the children in care.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The outside doors which lead from the Blue and Brown room directly to the outside play space, had peeling paint around each of the door frames.

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

Noncompliance Area: Observed several exposed bolts on the fencing near the gate in the smaller enclosed outdoor play space. Observed two of the feeding chairs in use in the infant room lack the safety straps used to secure children in the seat.

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 agreement on file for child #2 lacks the child's arrival and departure dates.

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

Noncompliance Area: The file for child #1 and child #4 contains emergency contact information which lacks the address of the child's physician. The file for child #2 and child #3 contains emergency contact information which lacks the name, address and telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file for child #1, #2, #3, and #5 contain emergency contact information which lacks the complete work address of the enrolling parent.

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

Noncompliance Area: The file for child #7 lacks a 6 month health report update, which was due prior to the emergency declaration and subsequent suspension of regulation caused by COVID -19. Child #7 is a young toddler.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The file for child #1, child #5 and child #6 lacks verification of administration of a current influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The epi-pens for child #7 and #8, observed in the Green room, did not have written consent by a parent for administration.

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

Noncompliance Area: The two most recent health assessments on file for staff person #4 and staff person #9 are dated in an interval greater than 24 months.

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.

Noncompliance Area: The file for staff person #12 contains one written reference dated after staff person #12 began in a child care taking position. The file for staff person #13 contains two written references dated after staff person #13 began in a child care taking position.

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 approximately 11:45 am, staff person #1 was not wearing their face shield in the outdoor play space and children were observed playing within 6 feet of them. Based on conversation with staff, they thought that face coverings did not have to be worn outside.

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

Noncompliance Area: The two most recent mandated reporter trainings on file for staff person #1, #2, #3, #9, and #10 were updated in an interval greater than 5 years or 60 months as required by the current 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 verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff person #2 contains an NSOR certificate dated 07/10/20, which is after the date of 07/01/20, the date the NSOR certificate was required to be on file by the current CPSL. The file for staff person #5 contains an NSOR certificate dated 09/08/20, which is after the date of 07/01/20, the date the NSOR certificate was required to be on file by the current CPSL. In addition, the two most recent state police and FBI clearances on file for staff person #5 were updated in an interval greater than 5 years or 60 months as required by the current CPSL. Staff person #6, who began in a child care taking position on 10/14/19, has on file an NSOR certificate dated 01/16/20, which is past the 45 day provisional hire period in effect as of 01/01/20. The file for staff person #7 contains an incomplete state police clearance, making it invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).Facility Person #7 may not work in a child care position at the facility until a valid state police clearance is on file. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff person #3, #8, and #11 contain evaluations completed in an interval greater than 12 months.

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: The file for staff person #13 lacks verification of 2 years' experience to qualify for the position of assistant group supervisor, which is the position held by and currently being performed by staff person #13. Staff person #13 is being qualified for the position of assistant group supervisor using a high school education/GED and 2 years' experience with children.

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

Noncompliance Area: A can of shaving cream was observed in a locked cabinet in the Blue room and included instructions to keep out of the reach of children. Based on conversation with staff in that room, it is used for arts and crafts.

Correction Required: Arts and crafts materials shall be nontoxic.

Noncompliance Area: Observed an area of chipping paint on the wall across from the bathrooms.

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

Noncompliance Area: There were numerous teeth marks on foam blocks in the Purple Room, in which older toddlers receive care.

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: There were several tears on the blue vinyl chair in the Brown room. There was a beanbag chair in the Pink room and the Yellow room in which infants and toddlers were observed in care.

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

Noncompliance Area: There was not a thermometer in the dining room refrigerator or in the auxiliary refrigerator.

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: At approximately10:20 am, staff person #1, #2 and #3 were observed supervising 16 children in the Brown Room. Staff person #1 identified 8 children in their group, staff person #2 identified 7 children in their group and staff person #3 did not identify any children, leaving one child not identified by anyone.

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: The file for child #2, child #3 and child #4 contains an agreement which lacks the child's arrival and departure times.

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

Noncompliance Area: The file for child #1, #2, #3, #4, #5, #6 and #8 contain emergency contact information which lacks the address of the child's physician or source of medical care. The file for child #2 contains emergency contact information which lacks the name of the child's physician or source of medical care. The file for child #6 contains emergency contact information which lacks the phone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file for child #2, #6 and #8 contains emergency contact information which lacks the enrolling parent's work address and work phone number.

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

Noncompliance Area: The file for child #5 contains emergency contact information which lacks the child's health insurance policy number. The file for child #8 contains emergency contact information which lacks the child's 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: The file for child #5 contains emergency contact information which lacks the complete address and phone number of one of the parent-designated release persons. The file for child #7 and #8 contains emergency contact information which lacks the complete addresses of the parent-designated release persons. The file for child #6 contains emergency contact information which lacks the parent-designated release persons' address and phone number. The file for child #3 and child #4 contains emergency contact information which lacks the parent-designated release person's phone number.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file for child #4 and child #5 lacks an initial health report. Child #4 and child #5 have been enrolled more than 60 days. The initial health report on file for child #3 is dated more than 60 days after the child's first day of attendance at the facility.

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: The most recent health report on file for child #1 is dated more than 12 months ago.

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: The file for child #3, child #7 and child #9 lacks verification of a current flu vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #8 lacks verification of current DTAP, Pneumococcal, Polio, and flu vaccines administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: There was no written consent for a tube of Nystatin ointment, which is a prescription medication.

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

Noncompliance Area: The most recent health assessment on file for staff person #6 is dated more than 24 months ago. The two most recent health assessments on file for staff persons # 7 and #13 were updated in an interval greater than 24 months.

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.

Noncompliance Area: The file for child #2, child #3, and child #5 contain an agreement and emergency contact information which were updated in an interval greater than 6 months.

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.

Noncompliance Area: The file for child #1 and child #4 contain emergency contact information which lack signed parent consent for transportation and walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The file for staff person #9 lacks the written results of an initial or subsequent tuberculin skin testing.

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: The file for staff person #3, staff person #8, and staff person #10 contain undated disclosure statements. The file for staff person #5 contains a child abuse clearance and a state police clearance both obtained for volunteer purposes. Staff person #5 has been employed in a child care taking position more than 90 days. The file for staff person #6 lacks verification of current mandated reporter training and a signed disclosure statement. Staff person #6 has been employed in a child care taking position for more than 90 days. The file for staff person #4 lacks a current state police clearance. The proof of application for the state police, child abuse and FBI clearance and FBI fingerprinting on file for staff person #4 are dated after staff person #4 began in a child care taking position. The file for staff person #8 lacks verification of current mandated reporter training. Staff person #8 has been employed in a child care taking position more than 90 days. The file for staff person #11 lacks an FBI clearance and verification of current mandated reporter training. Staff person #11 has been employed in a child care taking position more than 90 days. The file for staff person #13 contains a child abuse clearance obtained for volunteer purposes. The child abuse clearance obtained for employment purposes which is on file for staff person #13 is expired. Staff person #13 has been employed in a child care taking position more than 90 days. The file for staff person #3 contains verification of mandated reporter training that was completed more than 90 days after beginning in a child care taking position. The file for staff person #7 lacks a signed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #4, #5, #11and #13 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff person #1 and file #6 lacks verification of child care experience or education to qualify for the position of assistant group supervisor, the position staff person #1 and staff person #6 is identified as performing at the facility. The file for staff person #4, #8, staff person #10 , and staff person #11 lacks verification of 2 years of child care experience to qualify for the position of assistant group supervisor, the position staff person #4, #8, #10, and #11 is identified as performing at the facility. The file for staff person #12 lacks proof of a high school diploma or GED to qualify for the position of aide, the position staff person #12 is identified as performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The two most recent evaluations on file for staff person #9 are dated in an interval greater than 12 months.

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 a tube of Krazy Glue in the top drawer of the desk in the Green Room. The glue included directions to keep out of the reach of children. There was a bottle of hand sanitizer on a half wall between the dining room and the gross motor space, making it accessible to the children observed eating lunch in the dining room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: There was a spray bottle of unlabeled green liquid on a shelf above the water fountain in the Blue Room. Based on conversation with staff, the liquid was Mr. Clean.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The door between the dining room and the kitchen was propped ajar, making the kitchen stove accessible to the children observed eating lunch in the dining room at the time of the inspection.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Observed two rest mats in the Rainbow Room which are torn at the seams.

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 contains emergency contact information which lacks the work name, work address and work phone number of the enrolling parent. The file for child #3 and child #7 contains emergency contact information which lacks the complete work address of the enrolling parent.

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

Noncompliance Area: The file for child #3, child #4, and child #7 contains emergency contact information which lacks the complete address of the parent-designated release person(s).

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: Emergency contact information was not present for child #10 who was receiving care in the Rainbow 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: Child #2, who has been enrolled more than 60 days, lacks an initial health report on file at the facility. The initial health report on file for child #5 is dated more than 60 days after the child's first date of attendance at the facility.

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: The health reports on file for child #6 and child #8 were updated in an interval greater than 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 toddler

Noncompliance Area: The file for staff person #5 contains health assessments which were updated in an interval greater than 24 months.

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.