Protocol Academy Llc

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there was dirt and debris in the outdoor play area. The indoor of the facility drywall that was unfinished in the bathroon with exposed plaster, there are various areas where the rugs are torn throughout facility, metal threshold strips are sharp and sticking up off the floors near side door, middle area of room, near front door, under crib/playpens.(THIS IS CONTINUED NONCOMPLIANCE FROM 5/21/26 )

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection, there was paint chipped on the railing leading to the outdoor play area and the bathroom wall is unfinished.(THIS IS CONTINUED NONCOMPLIANCE FROM 5/21/26)

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

Regulation: 3270.106(g)

Description: Linens cleaned monthly

Noncompliance Area: During the renewal inspection, a facility walkthrough was conducted and there were soiled sheets in the play pens and the crib.

Correction Required: Linens, blankets and rest equipment shall be cleaned monthly, at a minimum. The operator shall arrange a cleaning schedule with the parent.

Regulation: 3270.113(a)/3270.113(a)(2)

Description: Supervised at all times /Supervision on and facility premises

Noncompliance Area: During the renewal inspection, there were 2 staff present which led to them being out of ratio at times. Staff #1 went in the kitchen to get food ready for the children, leaving staff #2 alone and out of ratio. The children were not properly supervised. Children were in the bathroom by themselves, and one child was able to grab a pair of scissors and was running with them.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection, certification representative did a facility walk through and there were no posted emergency transportation plans.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed 1.the policy for Shaken Baby Syndrome and Child Maltreatment did not address strategies for coping with a crying, fussing or distraught child and the identification and prevention of child maltreatment. 2. Three staff files were reviewed and the files for staff #2 and staff #3 did not have the required health and safety trainings. 2.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walkthrough and there were no labels with the children's names on cups and bottles.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the emergency plan, and it did not include accommodations for infants, toddlers, children with special needs and children with chronic medical conditions.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection the water was 110° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there was dirt and debris in the outdoor play area. The indoor of the facility drywall that was unfinished in the bathroon with exposed plaster, there are various areas where the rugs are torn throughout facility, metal threshold strips are sharp and sticking up off the floors near side door, middle area of room, near front door, under crib/playpens.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection, there was paint chipped on the railing leading to the outdoor play area and the bathroom wall is unfinished.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and the daily activity chart/list does not specify the activities being conducted or address when the children go outdoors for large muscle activity.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the renewal inspection, staff #1 popped a child.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During the renewal inspection, certification representative did a facility walk through: 1. Child #6 was in a highchair seat and was not eating and there were multiple children in play pen/crib who were not winding down for nap time. They were awake and actively trying to interact with the other children who were still up and moving about. 2. Shortly after entering the facility, both staff #1 and staff #2 went to the rear of the facility leaving all of the children unsupervised.

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.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and the agreement forms for child #1child #3 didn't include release persons.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child #1 and child #2 did not include signed parental consent for emergency medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files, and the emergency contact forms for child #1 did not include the address for the release people, child #2, and child #3 didn't have an address for the release person(s) on the emergency contact form.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection, certification representative did a facility walk through and there were no posted emergency transportation plans.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

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

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child#1 did not have an initial or subsequent health report.

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: During the renewal inspection, certification representative reviewed facility files and there is no policy for Shaken Baby Syndrome and Child Maltreatment per Announcement C-22-03 that was issued on January 24,2022.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: During the renewal inspection, certification representative did a facility walk through and there were no pickup and drop off procedures posted.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files, and the emergency contact forms for child #1 and child #2 didn't have a signed parental consent for minor first aid.

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

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1, staff #2 and staff #3 did not include a verification of childcare experience.

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

Regulation: 3270.27(a)

Description: Emergency plan

Noncompliance Area: During the initial inspection, certification representative reviewed the facility files and there is no emergency plan on file.

Correction Required: The facility shall have an emergency plan.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #1, staff #2 and staff #3 did not include emergency plan training.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the initial inspection, certification representative reviewed 3 staff files and the file for staff #1, staff #2 and staff #3 did not include 12 hrs of childcare training.

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

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 staff files and the files for staff #1,staff #2 and staff #3 did not contain a PQAS certified pediatric cpr/first aid certification from an approved provider /approved course.

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #2 did not contain the required health and safety professional development training(s).

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection, certification representative reviewed during 3 staff files and the files for staff #1 and staff #2 did not include mandated reporter training

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: Staff #1 and staff #2 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #2 is missing the FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and there was no annual staff evaluation for staff #2 and staff #3.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there were overgrown plants/trees/ weeds, dirt and debris in the outdoor play area.

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: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through, and there were no evacuation routes posted.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 05.22.24, the record reviewed for Staff Person #3 did not include a health assessment.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the renewal inspection on 05.22.24, the record reviewed for Staff Person #3 did not include verification of education for the position of classroom aide.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 05.22.24, the record reviewed for Staff Person #1, #2, #3 and #4 did not include health and safety basics training. The record reviewed for Staff Person #3 did not include Pediatric First Aid CPR.

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(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 05.22.24, the record reviewed for Staff Person #3 did not include FBI and NSOR clearance documentation.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 05.22.24, chipped paint was located on the right-side blue wall of the front classroom.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 8/30/23, the refrigerator had a temperature of 48° F.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection on 8/30/23, child #1 did not have emergency contact information updated within the last 6 months (dated 6/14/21).

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 8/30/23, staff person #2 did not have a health assessment on file.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection on 8/30/23, the provider did not have instructions given to the parents or posted on how to access the applicable regulations.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 8/30/23, staff persons #1, 2, and 3 did not have the required 12 hours of professional development training complete for this year.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 8/30/23, the brown leather couch was peeling and in poor repair.

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the renewal inspection on 8/30/23, the provider did not have monthly fire detection system checks log.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 11/29/22, there was a refrigerator in the kitchen in poor repair that did not have a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection on 11/29/22, child #2 did not have emergency contact information in the childcare space.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the renewal inspection on 11/29/22, staff person #1 did not wash the hands of child #1 after diapering.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection on 11/29/22, the operator did not have instructions for contacting the appropriate regional office or instructions for accessing the regulations electronically.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 11/29/22, staff person #1 did not have Child Abuse Clearance or a National Sex Offender Registry (NSOR) certificate.

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 childcare 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 childcare position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 11/29/22, there was a surge protector in the front area of the facility that had outlets without protective receptacle covers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 11/29/22: 1. There were 2 cribs being used to store excess toys. 2. There was excess supplies and material along the front area to the right and left of the main entrance.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/22/21, THERE WAS A SIPPY CUP THAT DID NOT HAVE A NAME ON IT TO IDENTIFY WHOSE IT WAS.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/22/21, THE ELECTRICAL OUTLET IN THE FRONT ROOM DID NOT HAVE PROTECTIVE RECEPTACLE COVERS.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/22/21: 1. THE RADIATOR COVERS HAD EXCESS RUST ON THEM. 2. THERE WAS AN EXPOSED NAIL ON THE RIGHT WALL THAT WAS MEANT TO HOLD THE MOLDING UP TO THE WALL. 3. DROP CEILING IN THE REAR HALLWAY WAS IN BAD REPAIR.

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: There were two packnplays not labeled with the names of the children who use them.

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: There was a packnplay in use 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: At approximately 12:45 two preschoolers, children #6 and #7 were observed leaving the child care space, walking past the bathroom, into the back hallway, and proceeded into a storage room. There were no staff in the storage room. The children remained in the storage room until the staff in the child care space, Facility Persons #1 and #2 were alerted by the certification representative at which point Facility Person #2 retrieved the children from the storage room.

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

Noncompliance Area: The agreement for Children #3 and #5 lacked a fee amount.

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

Noncompliance Area: The agreements for Children #3 and #5 lacked the date the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The files for Children #1, #2, #4 and #5 lacked child service reports that were completed in accordance with the updates to the emergency contact information.

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

Noncompliance Area: The agreements for Children #1, #2 and #5 lacked arrival and departure times.

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

Noncompliance Area: The file for Child #2 contained an original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The emergency contact forms for Children # 2 and #3 lacked the policy number for the children's health insurance.

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 emergency contact forms for Children #3 and #5 lacked addresses for the release person's listed.

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 #1 lacked an initial health assessment and the child has exceeded 60 days since enrollment at the facility. The initial health assessment on file for child #4 was completed in excess of 60 days following the child's first day of attendance. As of 9/20/19, no health assessment has been produced for child #1.

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 file for Child #2, a young toddler, lacked health assessement that had been completed every 6 months. The health assessments were compelted on 1/25/18 and 5/7/19.

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 health assessment on file for Child #2 lacked a review of the child's health history and the child's medications or special diet information.

Correction Required: A health report shall include a review of the child's health history.A health report shall include a list of the child's current medication and the reason for the medication.

Noncompliance Area: The health assessment on file for children #2 and #4 lacked a statement that the child appears to be free from contagious or communicable diseases.

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

Noncompliance Area: The health reports on file for Children #2 and #4 lacked information that the child has received appropriate screenings as recommended by the AAP.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: The files for Children #2, #4 and #5 lacked verification that the children have received an annual flu vaccination as recommended by the ACIP and an exemption was not on file. The file for Child #5 also lacked verification that they had received their 12-15 month Pneumococcal vaccination.

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: According to staff statements, diapers are individually bagged prior to disposal.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The file for Facility Person #2 lacked a current health assessment. The only health assessment on file was dated 10/15/14. The file for Facility Person #3 lacked a current health assessment. The only health assessment on file was dated 5/22/17. The file for Facility Person #4 lacked an initial health assessment prior to providing service at the facility.

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 Facility Person #4 lacked verification that they had completed their tuberculosis screening prior to starting at the facility.

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.

Noncompliance Area: The facility has not notified local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

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

Noncompliance Area: According to the operator's statement, Facility Person #1 has transported one or two preschoolers without another staff person present in the vehicle to supervise the children.

Correction Required: The staff-child ratios specified in 3270.51 and 3270.52 apply when infant, young or older toddler and preschool children are transported.The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

Noncompliance Area: The updates to the emergency contact form and financial agreement for Child #1 and the emergency contact form for Child #4 have exceeded 6 months since review and update.

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 children's records were kept on a shelf in the child care space, unlocked.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Noncompliance Area: The staff records were kept on a table in the child care space.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Noncompliance Area: The file for Staff Person #2 lacked verification that they had received annual emergency plan training. The file for Facility Person #4 lacked training at the time of initial hire.

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

Noncompliance Area: The files for Staff Person's #1, #2 and #3 lacked 6 hours of child care training.

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

Noncompliance Area: The file for Facility Person #3 lacked verification that they have participate in annual fire safety training. The file for Facility Person #1 and #2 lacked verification that they had received fire safety training in 2018.

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

Noncompliance Area: The file for Facility Persons #1 and #3 lacked verification that they had completed Mandated Reporter Training. The file for Facility Person #4 lacked verification that they had requested their FBI clearance prior to starting at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #4 may not work in a child care position at the facility.

Noncompliance Area: The files for Facility Person's #2 and #3 lacked annual written staff evaluations completed by the Director.

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

Noncompliance Area: At approximately 12:45 two preschoolers, children #6 and #7 were observed leaving the child care space, walking past the bathroom, into the back hallway, and proceeded into a storage room. There were no staff in the storage room. The children remained in the storage room until the staff in the child care space, Facility Persons #1 and #2 were alerted by the certification representative at which point Facility Person #2 retrieved the children from the storage room.

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: There were unlidded cans of trash in the fenced in outdoor playspace.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: There was an uncovered outlet on the wall, and one in a power strip on the floor near the entrance to the facility in the child care space.

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

Noncompliance Area: There were diaper creams labeled "keep out of reach of children" in an unlocked drawer in the restroom, in reach of children.

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 bottle of disinfectant in an cabinet next to a bottle of maple syrup.

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 first aid kit was in a drawer in the back hallway,outisde the child care space door, in reach of children.

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

Noncompliance Area: The first aid kit in the facility not contain soap.

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

Noncompliance Area: Fire drills were recorded as conducted on 8/24/18, 12/20/18, 3/2019 and 6/2019. There were more than 60 days between fire drills.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: The fire drill log did not inlcude the dates of all fire drills, the hypothetical location of the fire, the length of the evacuation time, and the names of all staff participating.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED, WHILE REVIEWING FILES THAT THE EMERGENCY CONTACT FOR CHILD #3 & #4 DID NOT CONTAIN THE HEALTH INSURANCE POLICY NUMBER.

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

Noncompliance Area: DURING RENEWAL INSPECTION THE CERTIFICATION REPREENTATIVE OBSERVED DURING FILE REVIEW THAT THE EMERGENCY CONTACT FOR CHILD #5 DID NOT HAVE THE ADDRESS FOR THE 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: DURING THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED DURING FILE REVIEW THAT CHILD #1, #3, AND #5 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #2 DID NOT HAVE A CURRENT HEALTH ASSESSMENT ON FILE.

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: DURING RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FILE FOR CHILD #4 DID NOT HAVE CONSENT FOR EMERGENCY MEDICAL CARE.

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.

Noncompliance Area: DURING RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FILE FOR CHILD #4 DID NOT HAVE CONSENT FOR MINOR FIRST- AID PROCEDURES.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 6/13/18, CERTIFICATION REPRESENTATIVE OBSERVED DURING FILE REVIEW THAT THE CHILD ABUSE CLEARANCE FOR STAFF#1 WAS COMPLETED ON 6/12/13. NO NEW REQUEST FOR CHILD ABUSE CLEARANCE NOR UPDATED CLEARANCE WAS FOUND.

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 # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.