Precious Babies Learning Academy Daycare Inc

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: It was reported that child number one tripped, fell and hit their head on a large push toy that was said to have not been age appropriate for the children.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the allocated unannounced inspection on 07/08/2025, Staff person number one did not have current Child Abuse and National Sex Offenders Registry clearances on file.

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 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 may not work in a child care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Child left unattended on school bus.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed room 1 first aid kit missing scissors and gauze. Observed room 2 missing tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed faucet in infant room leaking water.

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: Observed chipped paint on kids bathroom baseboard.

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

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

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: During a renewal inspection on 01/26/2022, the file for child #1 did not contain a current influenza vaccination.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: During a renewal inspection on 01/26/2022, the emergency contact information in the classrooms was not updated in the past 6 months.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 01/26/2022, the emergency plan did not contain the evacuation routes to the offsite location.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 01/26/2022, the emergency plan did not contain accommodations for infants and toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Description: Age and Training

Noncompliance Area: During a renewal inspection on 01/26/2022, the file for staff person #1 did not contain documentation of a current Pediatric First Aid and CPR training.

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.

Noncompliance Area: ON NOVEMBER 21, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 2 RECEIVED TRAINING REGARDING THE EMERGENCY PLAN AT THE TIME OF INITIAL EMPLOYMENT.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: ON NOVEMBER 21, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 (HIRE DATE 11/11/2019) DID NOT INCLUDE AN FBI FINGER PRINT CLEARANCE OR A COPY OF REQUESTS FOR THE FBI FINGER PRINT CLEARANCE . THE RECORD REVIEWED FOR STAFF PERSON # 2 ( HIRE DATE 11/06/19) DID NOT INCLUDE A DISCLOSURE STATEMENT. AS REQUIRED UNDER THE CPS LAW.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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, fbi fingerprint clearance 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 may not work in a child care position at the facility.

Noncompliance Area: ON NOVEMBER 21, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPING PAINT ON THE PURPLE WALL IN THE FRONT SCHOOL AGE CLASSROOM.

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 SEPTEMBER 26, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR CHILD # 2 ( ENROLLMENT DATE 0108/19) DID NOT INCLUDE A HEALTH REPORT. THE RECORD CONTAINED AN IMMUNIZATION RECORD FOR THE CHILD WITHOUT A HEALTH REPORT.

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

Noncompliance Area: ON SEPTEMBER 26, 2019 DURING THE UNANNOUNCED INSPECTION, THE HEALTH REPORT REVIEWED FOR CHILD # 1 WAS NOT UPDATED WITHIN A 6-MONTH PERIOD. ( THE HEALTH REPORT WAS DATED 01/30/2019)

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: ON SEPTEMBER 26, 2019 DURING THE UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT AND FINANCIAL AGREEMENT INFORMATION REVIEWED FOR CHILD # 2 WAS NOT UPDATED WITHIN A 6-MONTH PERIOD. ( THE INFORMATION WAS DATED 01/18/19)

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: ON SEPTEMBER 26, 2019 DURING THE COMPLAINT INVESTIGATION, IT WAS FOUND THAT CHILD # 1 AND # 2 SUSTAINED INJURIES AT THE FACILITY ( BOTH CHILDREN WERE BIT BY ANOTHER CHILD AT THE FACILITY) AND THERE WAS NO EVIDENCE THAT THE PARENTS WERE GIVEN AN INCIDENT REPORT ON THE DAY OF THE INCIDENT. STAFF PERSON # 1 ACKNOWLEDGED INCIDENT REPORTS WERE WRITTEN BUT UPON OBSERVATION OF THE CHILDREN'S FILES BY THE CERTIFICATION REPRESENTATIVE IT WAS FOUND THAT INCIDENT REPORTS WERE NOT RETAINED. THERE WAS NO EVIDENCE OF AN ACCIDENT FILE BEING ESTABLISHED OR RETAINED AT THE FACILITY.

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: ON SEPTEMBER 19, 2019 DURING THE UNANNOUNCED INSPECTION, THE PLAY EQUIPMENT AND MATERIALS IN THE FRONT TODDLER MIDDLE GREEN CLASSROOM, THE INFANT CLASSROOM AND THE BACK YELLOW CLASSROOM DID NOT INCLUDE A SUFFICIENT AMOUNT OR VARIETY OF MATERIALS. PLAY MATERIAL AND EQUIPMENT DID NOT INCLUDE ALL ITEMS SPECIFIED AT 3270.101 (C)(1)-(6). THE BACK TODDLER CLASSROOM NEAR THE INFANT CLASSROOM DID NOT HAVE ANY PLAY EQUIPMENT AND MATERIALS.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at 3270.101(c)(1) - (6).

Noncompliance Area: ON SEPTEMBER 19, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WERE 2 BIG RED BUGGY'S ( THAT SEAT SIX CHILDREN EACH ) AND 3 BLUE BUGGY'S ( THAT SEAT FOUR CHILDREN EACH) BEING STORED IN THE BACK YELLOW CLASSROOM.

Correction Required: Measurement and use of inodoor child care space

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, A WHEEL ON THE CRIB IN THE BACK YOUNG TODDLER CLASSROOM WAS BROKEN.

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

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 AND # 5 DIAPER A CHILD AND THE STAFF DID NOT WASH THE CHILDREN'S HANDS AFTER DIAPERING.

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

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 AND # 5 DIAPER A CHILD AND THE STAFF DID NOT CLEAN THE DIAPER CHANGING SURFACE AFTER EACH USE.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 3 ( HIRE DATE 07/25/19) WAS NOT CONDUCTED WITHIN 12 MONTHS PRIOR TO PROVIDING INITIAL SERVICE IN THE CHILD CARE SETTING. ( THE HEALTH ASSESSMENT WAS DATED 02/03/18)

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: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 AND # 5 DIAPER A CHILD AND THE STAFF DID NOT WASH THEIR HANDS AFTER DIAPERING THE CHILD.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, LUNCH SERVED TO THE YOUNG TODDLER CHILDREN IN THE BACK TODDLER CLASSROOM AND INFANT CLASSROOM DID NOT INCLUDE AT LEAST ONE FRUIT OR VEGETABLE. ( THE CHILDREN WERE SERVED NOODLES FOR LUNCH)

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

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, LUNCH SERVED TO THE YOUNG TODDLER CHILDREN IN THE BACK TODDLER CLASSROOM AND INFANT CLASSROOM DID NOT INCLUDE AT LEAST ONE GRAIN. ( THE CHILDREN WERE SERVED NOODLES FOR LUNCH) LUNCH SERVED TO THE YOUNG TODDLER AND PRESCHOOL CHILDREN IN THE FRONT CHILD CARE CLASSROOMS DID NOT INCLUDE AT LEAST ONE GRAIN. ( THE CHILDREN WERE SERVED A SAUSAGE PATTY AND STRING BEANS)

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

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 2 AND # 4 RECEIVED TRAINING REGARDING THE EMERGENCY PLAN AT THE TIME OF INITIAL EMPLOYMENT.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WERE CLEANING MATERIALS ( AJAX CLEANER AND LAUNDRY DETERGENT ACCESSIBLE TO CHILDREN IN AN UNLOCKED LAUNDRY CLOSET IN THE BACK OF THE TODDLER CLASSROOM. THERE WERE TOXIC MATERIALS ( PAINT ADHESIVE) ACCESSIBLE TO CHILDREN IN AN UNLOCKED CLOSET NEAR THE BACK OUTDOOR PLAY SPACE EXIT.

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: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THE HOT WATER IN THE CHILDREN'S BATHROOM (NEAR THE BACK YELLOW CLASSROOM) REGISTERED AT 114' VIA DIGITAL THERMOMETER.

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

Noncompliance Area: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THE HOT WATER TANK WAS NOT EQUIPPED WITH PROTECTIVE GUARDS OR INSULATED. THE HOT WATER TANK WAS IN REACH AND ACCESSIBLE TO CHILDREN IN AN UNLOCKED CLOSET IN THE BACK OF THE FACILITY NEAR THE OUTDOOR PLAY SPACE EXIT.

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: ON AUGUST 14, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS A HOLE IN THE WALL BEHIND A CRIB IN THE BACK YOUNG TODDLER SECTION OF THE FACILITY.

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: ON JUNE 20, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED THIRTY TWO CHILDREN IN THE FRONT SCHOOL AGE CLASSROOM WITH STAFF PERSON # 1, # 2, # 3 AND # 4. THE CERTIFICATION REPRESENTATIVE ASKED THE STAFF TO NAME THE CHILDREN IN THEIR ASSIGNED GROUPS. STAFF PERSON # 1 NAMED AND ACKNOWLEDGED FOUR CHILDREN IN HER ASSIGNED GROUP, STAFF PERSON # 3 NAMED AND ACKNOWLEDGED TWELVE CHILDREN IN HER ASSIGNED GROUP, STAFF PERSON # 4 NAMED AND ACKNOWLEDGED SEVEN CHILDREN IN HER ASSIGNED GROUP . STAFF PERSON # 2 STATED SHE HAD NINE CHILDREN IN HER ASSIGNED GROUP AND THAT SHE COULD READ THE NAMES OFF OF THE INDEX CARDS BUT DID NOT KNOW THE NAMES OF THE ACTUAL CHILDREN. THE CERTIFICATION REPRESENTATIVE ASKED STAFF PERSON # 2 TO SAY A CHILD'S NAME OFF THE CARD AND POINT TO THE CHILD, THE STAFF PERSON STATED SHE COULD ONLY READ THE NAMES OFF THE CARD BUT DID NOT KNOW THE CHILDREN IN THE GROUP SINCE IT WAS HER FIRST DAY BEING EMPLOYED AT THE FACILITY.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON JUNE 20, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 AND # 6 DID NOT INCLUDE TWO WRITTEN 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: ON JUNE 20, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED THIRTY TWO CHILDREN IN THE FRONT SCHOOL AGE CLASSROOM WITH STAFF PERSON # 1, # 2, # 3, AND # 4. STAFF PERSON # 1 ( WHO WAS IDENTIFIED AS THE DIRECTOR) STATED SHE WAS ASSIGNED TO FOUR CHILDREN IN THE CLASSROOM AND PROCEEDED TO PROVIDE THE NAMES OF THE CHILDREN IN HER GROUP. STAFF PERSON # 2 STATED SHE WAS ASSIGNED TO NINE CHILDREN, STAFF PERSON # 3 STATED SHE WAS ASSIGNED TO TWELVE CHILDREN AND STAFF PERSON # 4 STATED SHE WAS ASSIGNED TO SEVEN CHILDREN. DURING THE INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED 136 CHILDREN PRESENT IN THE FACILITY.

Correction Required: A director may not function as a group supervisor in a facility in which more than 45 children are enrolled.

Noncompliance Area: ON JUNE 20, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. ( ASSISTANT GROUP SUPERVISOR)

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: ON JUNE 20, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED FIFTEEN CHILDREN IN THE BACK YELLOW CLASSROOM WITH STAFF PERSON # 5. THE YOUNGEST CHILD IN THE GROUP WAS CHILD # 1 WHO IS A FIVE YEAR OLD YOUNG SCHOOL AGE CHILD.

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

Noncompliance Area: ON JUNE 20, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS CLEANING MATERIALS ( SPIC & SPAN SPRAY ) ON A LOW SHELF IN THE FRONT SCHOOL AGE CLASSROOM.

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: ON JUNE 20, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPED PAINT ON THE PURPLE WALL UNDER THE MIRROR IN THE PURPLE PRESCHOOL CLASSROOM, ON THE PINK WALL IN THE INFANT CLASSROOM NEAR THE ROCKING CHAIR AND ON THE GREEN WALL IN THE MIDDLE PRESCHOOL CLASSROOM.

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 APRIL 22, 2019 DURING THE UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED IN THE PRE-K CLASSROOM ( CHILD # 1 AND # 2), THE YELLOW CLASSROOM ( CHILD # 3 AND # 4) , THE OLDER TODDLER CLASSROOM ( CHILD # 5) , THE GREEN PRESCHOOL MIDDLE ROOM ( CHILD # 6 AND # 7 ), THE SCHOOL AGE CLASSROOM ( CHILD # 8 AND # 9 ), AND THE YOUNG TODDLER CLASSROOM ( CHILD # 10, # 11) WAS NOT UPDATED WITHIN A 6-MONTH PERIOD.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: ON MARCH 25, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED CHILD # 2 AND # 3 AT THE INFANT/TODDLER CLASSROOM DOOR WITHOUT SUPERVISION BY A STAFF PERSON.

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

Noncompliance Area: ON MARCH 25, 2019 DURING THE UNANNOUNCED INSPECTION, THE CERTIFICATION REP OBSERVED STAFF PERSON # 1 AND # 7 IN THE YELLOW PRESCHOOL CLASSROOM WITH EIGHT CHILDREN. WHEN THE CERTIFICATION REP ASKED HOW MANY CHILDREN WERE IN THE GROUP, STAFF # 1 STATED THAT THERE WERE EIGHT CHILDREN PRESENT. AS THE CERT REP AND STAFF PERSON # 2 EXITED THE REAR OF THE CLASSROOM THE CERT REP OBSERVED TWO MORE CHILDREN NEAR THE INFANT/TODDLER DOOR UNSUPERVISED. STAFF # 2 THEN ASKED STAFF # 1 IF THE TWO CHILDREN ALSO BELONGED IN HER GROUP, TO WHICH SHE RESPONDED "YES, THEY MUST HAVE BEEN HIDING", INDICATING THAT THERE WERE TEN CHILDREN PRESENT IN THE GROUP, RATHER THAN THE EIGHT THAT THE STAFF PERSON PREVIOUSLY STATED.-( WHEREABOUTS OF CHILDREN IN ASSIGNED GROUPS)

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON MARCH 25, 2019 DURING THE UNANNOUNCED INSPECTION, EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN ANY OF THE CLASSROOMS IN THE FACILY WHERE THE CHILDREN WERE RECEIVEING CARE IN THE SPACES. CONTINUED NON-COMPLIANCE FROM RENEWAL INSPECTION CONDUCTED ON 02/25/2019)

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

Noncompliance Area: ON MARCH 25, 2019 DURING THE COMPLAINT INVESTIGATION, THERE WERE 9 CHILDREN PRESENT IN THE BACK INFANT SECTION OF THE FACILITY WITH STAFF PERSON # 1 AND # 2. THE YOUNGEST CHILD WAS AN INFANT.

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.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE REST EQUIPMENT IN THE PRESCHOOL, OLDER TODDLER # 2, AND THE YOUNG TODDLER CLASSROOMS WERE NOT LABELED FOR THE USE A SPECIFIC CHILD. THERE WAS A PINK MAT IN THE PRESCHOOL CLASSROOM THAT WAS TORN.

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

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, CHILD # 9 WAS ASLEEP IN A SLEEPING CHAIR IN THE INFANT CLASSROOM THAT DID NOT HAVE AT LEAST 2 FEET OF SPACE ON THREE SIDES.

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: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE CERTIFICATION REPRESENTATIVE ASKED STAFF PERSON # 6 TO NAME THE CHILDREN IN HER ASSIGNED GROUP. WHEN NAMING THE CHILDREN IN HER GROUP STAFF PERSON # 6 POINTED AT CHILD # 2 AND STATED THAT HIS NAME WAS KAYDEN, TO WHICH THE CHILD REPLIED "THAT'S NOT MY NAME THAT'S HIS NAME", AND POINTED TO ANOTHER CHILD IN THE GROUP. STAFF PERSON # 6 THEN MADE A SECOND ATTEMPT AT NAMING THE CHILDREN IN HER ASSIGNED GROUP, AND AGAIN REFERRED TO CHILD # 2 AS KAYDEN ( WHICH WAS NOT THE CHILD'S CORRECT NAME), INDICATING THAT STAFF PERSON # 6 DID NOT KNOW THE NAMES OF THE CHILDREN IN HER ASSIGNED 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.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 8 WAS NOT SIGNED BY THE OPERATOR.

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

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 4 DID NOT SPECIFY THE AMOUNT OF FEE TO BE PAID.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 6 DID NOT SPECIFY THE PERSONS DESIGNATED BY A PARENT TO WHOM THE CHILD MAY BE RELEASED.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A FILE OR EMERGENCY CONTACT INFORMATION FOR CHILD # 7 WHO IS ENROLLED AT THE FACILITY PER STAFF PERSON # 7 (WHO WAS IDENTIFIED AS THE DESIGNATED PERSON IN CHARGE).

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 4 AND # 6 DID NOT INCLUDE THE HEALTH INSURANCE COVERAGE INFORMATION FOR THE CHILD.

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

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 5 AND # 6 DID NOT INCLUDE THE ADDRESSES OF THE DESIGNATED RELEASE PERSONS.

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: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION,THE EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN THE CHILD CARE SPACE FOR THE PRE SCHOOL CHILDREN RECEIVING CARE IN THE SPACE. (YELLOW BACK CLASSROOM 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.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 1 AND # 3 DID NOT INCLUDE THE PHYSICIANS ASSESSMENT OF THE PERSONS SUITABILITY TO PROVIDE CHILD CARE.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, STAFF PERSON # 8 DID NOT WASH HER HANDS AFTER DIAPERING A CHILD.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE HEALTH REPORT REVIEWED FOR STAFF PERSON # 2 AND # 4 INDICATED THE STAFF PERSON HAS A COMMUNICABLE DISEASE. THERE WAS NO ADDITIONAL DOCUMENTATION IN THE RECORD THAT DESCRIBES THE STAFF PERSONS CONDITION AND THE RISK IT MIGHT POSE TO OTHERS EXPOSED TO THIS STAFF PERSON.

Correction Required: A facility person with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall be excluded from attendance until the facility operator receives notification from a physician or CRNP that the person is no longer considered a threat to the health of others. The notification shall be retained in the facility person's file. Exclusion from the facility is required for diseases and conditions specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THA FORMULA AND FEEDING SCHEDULES WERE OBTAINED FROM THE PARENTS FOR THE INFANTS IN CARE.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT SAFE ROUTES WERE ESTABLISHED OR POSTED AT THE FACILITY.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE FINANCIAL AGREEMENT REVIEWED FOR CHILD # 3 WAS NOT UPDATED WITHIN A 6-MONTH PERIOD.

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: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION IN THE OLDER TODDLER, PRESCHOOL, OLDER TODDLER # 2 , YOUNG TODDLER, INFANT, AND PRE-K # 2 CLASSROOMS WERE EXPIRED AND INCOMPLETE.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 6 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR THE CHILD OR SIGNED PARENTAL CONSENT FOR MINOR FIRST-AID PROCEDURES BY FACILITY STAFF.

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.

Noncompliance Area: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 6 DID NOT CONTAIN SIGNED PARENTAL 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: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT AN ACCIDENT, INJURIES AND ILLNESS FILE WAS ESTABLISHED AND RETAINED AT THE FACILITY.

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: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, STAFF PERSON # 4 (HIRE DATE, 2/21/19) AND STAFF PERSON # 5 (HIRE DATE, 2/21/19) WHO ARE BOTH PROVISIONAL HIRES WERE OBSERVED WORKING IN THE PRESCHOOL CLASSROOM WITH 12 CHILDREN WITHOUT SUPERVISION BY A PERMANENT EMPLOYEE. THE RECORD REVIEWED FOR STAFF PERSON # 4 CONTAINED A COPY OF A REQUEST FOR THE FBI FINGERPRINT CLEARANCE. THE RECORD REVIEWED FOR STAFF PERSON # 5 CONTAINED A COPY OF A REQUEST FOR THE CHILD ABUSE REGISTRY CLEARANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: ON FEBRUARY 25, 2019 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ALONG THE BLACK HISTORY BOARD IN THE YELLOW BACK CLASSROOM.

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 JANUARY 22, 2019 DURING THE UNANNOUNCED INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 1 HIRE DATE, 1/2/19 WAS NOT CONDUCTED WITHIN 12 MONTHS PRIOR TO PROVIDING INITIAL SERVICE IN THE CHILD CARE SETTING. THE HEALTH ASSESSMENT REVIEWED IN THE RECORD WAS DATED 7/28/17.

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: ON JANUARY 22, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 DID NOT INCLUDE VERIFICATION OF AGE.

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

Noncompliance Area: ON JANUARY 22, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 HIRE DATE 1/2/2019 RECEIVED TRAINING REGARDING THE EMERGENCY PLAN AT THE TIME OF INITIAL EMPLOYMENT.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: ON JANUARY 22, 2019 DURING THE UNANNOUNCED INSPECTION, THE DISCLOSURE STATED REVIEWED FOR STAFF PERSON # 1 WAS NOT DATED.

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 fbi fingerprint clearance, criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: ON JANUARY 22, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. (ASSISTANT GROUP SUPERVISOR)

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: ON JANUARY 22, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS BABY POWDER UNDER AN UNLOCKED CHANGING TABLE ACCESSIBLE TO CHILDREN IN THE YELLOW ROOM. ( CONTINUED NON-COMPLIANCE)

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: ON JANUARY 22, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPING PAINT ON THE PINK WALL NEAR THE DOOR IN THE INFANT CLASSROOM, ON THE BLUE WALL OF THE ENTRANCE TO THE TODDLER BACK CLASSROOM, ON THE COLUMN IN THE YELLOW ROOM AND ON THE BOTTOM OF THE WALL IN THE FRONT SCHOOL AGE CLASSROOM. (CONTINUED NON-COMPLIANCE)

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 DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THE EQUIPMENT AND MATERIALS IN THE OLDER SCHOOL AGE CLASSROOM DID NOT INCLUDE A VARIETY OF ITEMS AS SPECIFIED AT 3270.101(C)(1)-(6).

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at 3270.101(c)(1) - (6).

Noncompliance Area: ON DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THE BROWN CHILDRENS COUCH IN THE PRE-K CLASSROOM WAS DAMAGED. THE COUCH WAS TORN. THE TODDLER TABLES IN THE YOUNG TODDLER SECTION OF THE FACILITY WERE MISSING SAFETY SEAT BELTS.

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

Noncompliance Area: ON DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WERE TEN CHILDREN PRESENT IN THE YOUNG TODDLER CLASSROOM WITH STAFF PERSON # 1, # 2 AND # 3. STAFF PERSON # 1 ACKNOWLEDGED AND NAMED THREE CHILDREN IN HER ASSIGNED GROUP. STAFF PERSON # 2 ACKNOWLEDGED AND NAMED FOUR CHILDREN IN HER ASSIGNED GROUP AND STAFF PERSON # 3 ACKNOWLEDGED AND NAMED TWO CHILDREN IN HER ASSIGNED GROUP. LEAVING 1 CHILD UNACCOUNTED FOR.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THE EMERGENCY PLAN REVIEWED DID NOT PROVIDE FOR THE METHODS TO CONTACT PARENTS WHEN AN EMERGENCY SITUATIONS ARISES AND HAS ENEDED.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: ON DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WAS AN OUTLET MISSING PROTECTIVE COVERS IN THE YOUNG TODDLER CLASSROOM UNDER THE TELEVISION.

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

Noncompliance Area: ON DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WAS LEMON AMMONIA CLEANER ACCESSIBLE TO CHILDREN ON THE FLOOR OF THE STAIRWAY NEAR THE YOUNG TODDLER SECTION OF THE FACILITY. THE DOOR LEADING TO THE STAIRWAY WAS UNLOCKED.

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: ON DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THE INFANT ENTRANCE DOOR WAS IN VISIBLE NEED OF REPAIR. A PART OF THE WOOD ON THE BOTTOM OF THE DOOR WAS MISSING AND HAD JAGGED EDGES.

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: ON DECEMBER 13, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPPING PAINT ALONG THE NUMBER WALL IN THE PRE-K CLASSROOM.

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 NOVEMBER 13, 2018 DURING THE COMPLAINT INVESTIGATION, IT WAS CONFIRMED THAT THE FACILITY DID NOT PICK UP CHILD # 1 LEAVING HIM AT SCHOOL UNSUPERVISED ON 11/1/2018. STAFF PERSON # 1 AND # 2 ACKNOWLEDGED THERE WAS AN AGREEMENT IN PLACE BETWEEN THE PARENT OF CHILD # 1 AND THE FACILITY FOR THE CHILD TO RECIEVE AFTERSCHOOL BUS PICK UP SERVICES.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON NOVEMBER 13, 2018 DURING THE COMPLAINT INVESTIGATION, THERE WAS NO EVIDENCE OF A TRANSPORTATION/ BUS POLICY AGREEMENT FOR CHILD # 1.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: ON NOVEMBER 1, 2018 DURING THE COMPLAINT INVESTIGATION, THERE WERE 32 SCHOOL AGE CHILDREN PRESENT IN THE FRONT SCHOOL AGE SECTION OF THE FACILITY WITH STAFF PERSON # 1, # 2 AND # 3. STAFF PERSON # 1 ACKNOWLEDGED SHE HAD TWELVE CHILDREN IN HER ASSIGNED GROUP AND NAMED ALL TWELVE CHILDREN IN THE GROUP. STAFF PERSON # 2 STATED SHE HAD FIVE CHILDREN IN HER ASSIGNED GROUP. STAFF PERSON # 2 NAMED THREE CHILDREN IN HER ASSIGNED GROUP AND STATED SHE DID NOT KNOW THE OTHER TWO CHILDREN'S NAMES IN HER GROUP. STAFF PERSON # 3 STATED HE DID NOT HAVE AN ASSIGNED GROUP AND THAT THE TEACHERS HAVE NOT BEEN ASSIGNED GROUPS SINCE THE SUMMER TIME.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON NOVEMBER 1, 2018 DURING THE COMPLAINT INVESTIGATION, CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 3 REPEATING YELLING IN CHILD # 1'S FACE.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: ON OCTOBER 2, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WERE 10 CHILDREN IN YOUNG TODDLER CLASSROOM WITH STAFF PERSON # 1 AND # 2. NINE CHILDREN WERE LAYING ON THEIR MATS AND CHILD # 1 WAS SITTING STRAPPED INSIDE THE CHAIR OF A TODDLER TABLE. STAFF PERSON # 1 ACKNOWLEDGED THAT CHILD # 1 WAS STRAPPED INSIDE THE CHAIR BECAUSE HE WAS RUNNING AROUND AND SHE NEEDED TO CLEAN.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: ON OCTOBER 2, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WERE 22 CHILDREN PRESENT IN THE OUTSIDE PLAY SPACE. STAFF PERSON # 3 ACKNOWLEDGED SHE WAS RESPONSIBLE FOR 10 OF THE CHILDREN AND HER YOUNGEST CHILD WAS A THREE YEAR OLD CHILD. STAFF PERSON # 4 WAS ALONE WITH 12 CHILDREN AND THE YOUNGEST CHILD WAS A TWO YEAR OLD CHILD. STAFF PERSON # 5 CAME FROM INSIDE THE FACILITY TO JOIN THE GROUP WITH STAFF PERSON # 4 AND THE 12 CHILDREN. STAFF PERSON # 5 ACKNOWLEDGED SHE WAS ASSIGNED TO THE GOUP OF 12 CHILDREN WITH STAFF PERSON # 4 BUT LEFT THE GROUP TO GO INSIDE THE FACILITY.

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.

Noncompliance Area: On 9/5/18 during complaint investigation, Staff # 1 was found to be using inappropriate discipline methods - (locking a child in the bathroom and turning the light's out, pinching a child's foot for taking their shoes off, hitting child on butt for having an accident in underwear/diaper, squeezing a child's hand for not listening )with the children in her care. This citation was verified through OCDEL's investigation of the facility, including interviews with facility staff/ operator/clients.,

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

Noncompliance Area: ON AUGUST 10, 2018 DURING THE COMPLAINT INVESTIGATION, THERE WERE 27 CHILDREN IN THE OLDER CAMP CLASSROOM WITH STAFF PERSON # 3, # 4 AND # 5. STAFF PERSON # 3 NAMED 14 CHILDREN IN HER ASSIGNED GROUP, STAFF PERSON # 4 NAMED 6 CHILDREN IN HER ASSIGNED GROUP AND STAFF PERSON # 5 NAMED 5 CHILDREN IN HER ASSIGNED GROUP LEAVING 2 CHILDREN UNACCOUNTED FOR.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON AUGUST 10, 2018 DURING THE COMPLAINT INVESTIGATION, THE FEE AGREEMENT REVIEWED FOR CHILD # 1 DID NOT SPECIFY THE AMOUNT OF FEE TO BE CHARGED.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: ON AUGUST 10, 2018 DURING THE COMPLAINT INVESTIGATION, THE AGREEMENT REVIEWED FOR CHILD # 1 DID NOT SPECIFY THE CHILD'S ARRIVAL AND DEPARTURE TIMES.

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

Noncompliance Area: ON AUGUST 10,2018 DURING THE COMPLAINT INVESTIGATION, THE FEE AGREEMENT REVIEWED FOR CHILD # 1 DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

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

Noncompliance Area: ON AUGUST 10, 2018 DURING THE COMPLAINT INVESTIGATION, THE RECORD REVIEWED FOR CHILD # 1 ENROLLMENT DATE 11/29/17, DID NOT CONTAIN A HEALTH REPORT.

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

Noncompliance Area: ON AUGUST 10, 2018 DURING THE COMPLAINT INVESTIGATION, STAFF PERSON # 2 WHO WAS IDENTIFIED AS THE DESIGNATED PERSON IN CHARGE ACKNOWLEDGED SHE WAS NOT ABLE TO ACCESS THE FACILITY CAMERA FOOTAGE TO PROVIDE ACCESS TO THE CERTIFICATION REPRESENTATIVE UPON REQUEST.

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

Noncompliance Area: ON AUGUST 10, 2018 DURING THE COMPLAINT INVESTIGATION, STAFF PERSON # 1 AND INDIVIDUAL # 2 WERE IN THE BACK PLAY SPACE WITH 17 CHILDREN. THE YOUNGEST CHILD WAS AN EIGHT YEAR OLD YOUNG SCHOOL-AGE CHILD. INDIVIDUAL # 2 AND STAFF PERSON # 2 (WHO WAS IDENTIFIED AS THE DESIGNATED PERSON IN CHARGE) ACKNOWLEDGED THAT INDIVIDUAL # 2 WAS NOT A STAFF PERSON AT THE FACILITY. STAFF PERSON # 3, # 4 AND # 5 WERE IN THE YELLOW BACK CLASSROOM WITH 27 CHILDREN. THE YOUNGEST CHILD WAS A 2 YEAR OLD (OLDER TODDLER CHILD). THE CHILDREN WERE LAYING DOWN FOR NAP AND THERE WERE 8 CHILDREN UP OFF THEIR MATS RUNNING AND PLAYING.

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

Noncompliance Area: ON AUGUST 10, 2018 DURING THE COMPLAINT INVESTIGATION, STAFF PERSON # 6 WAS NOT ON THE FACILITY PREMISES DURING NAP TIME. STAFF PERSON # 2 ACKNOWLEDGED THAT THE STAFF PERSON WAS ON LUNCH BREAK OFF THE PREMISES. THERE WERE 14 CHILDREN IN THE TODDLER CLASSROOM DURING NAP TIME WITH STAFF PERSON # 7 AND # 8 AND THE YOUNGEST CHILD WAS A ONE YEAR OLD CHILD. STAFF PERSON # 6 WAS ASSIGNED TO THIS CLASSROOM.

Correction Required: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.