Raindrops At The Thomas Learning Center Inc 4

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedures as required in 3270.27 subsection a.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures as required in 3270.27 subsection a. Submit a copy of the revised letter.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#1- hired 7/27/17- no completed NSOR)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 cannot work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , completed CPSL clearance document (NSOR) for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Noncompliance Area: On 10/2/19 at approximately 11:30am, a mixed-age group of six older toddlers (age 2 years) and preschool (age 3 years to first day of kindergarten) children were left alone and unattended on two occasions when the director/group supervisor (staff #1) left the room to attend to other tasks. As of 11/14/19, provider failed to submit weekly supervision monitoring reports as specified in the provider's plan of correction.

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. 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 Southeast Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: On 10/2/19, at approximately 11:30am, a mix-aged group of infants (0-12 months) older toddlers (2 years of age) and preschool (3 years to first day of kindergarten) children were observed being cared for by one staff person (#2) in the Little Explorers classroom when staff person (#2) left the room to tend to a task. Staff person #1 verified the ages of the children. As of 11/14/19, provider failed to submit weekly ratio monitoring reports as specified in the provider's plan of correction.

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

Noncompliance Area: Two children were observed napping on rest equipment that was not labeled for the use of that specific child and used only by that child. Child #1 was napping on equipment named for Child #2 and Child #6 was resting on equipment named for Child #4.

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. Ensure that children only rest on equipment labeled for their specific use. Notify staff persons of this requirement and submit a copy of the written notification that includes each staff person's signature.

Noncompliance Area: On 10/2/19 at approximately 11:30am, a mixed-age group of six older toddlers (age 2 years) and preschool (age 3 years to first day of kindergarten) children were left alone and unattended on two occasions when the director/group supervisor (staff #1) left the room to attend to other tasks.

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. 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 Southeast Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Two children's record did not contain a child service report that had been completed within the past 6 months. (#5 and #6). CONTINUING NON-COMPLIANCE

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). Complete and submit a current up-to-date child service report for the indicated children. Provide child service report training for all facility staff. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance. Submit a copy of the completed training for all facility staff persons.

Noncompliance Area: Children were observed being cared for in two separate classrooms and several of the children's emergency contact information was not present in the classroom in which they were present. (Elmo Room-#2, #3, #4 and #5) (Little Explorers-child #1)

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. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: Two children's records did not contain a health report completed within the past 12 months. (#1 and #2)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One facility person's health assessment did not include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment in accordance with 3270.151(a). (#1) Documentation submitted on 10/2/19 did not contain written verification of negative Manotux TB testing within 12 months prior to date of initial employment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Ensure that facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: Menus were posted in an area that was inconspicuous (rear wall in Little Explorers classroom) and were not dated.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Ensure that menus are conspicuously posted in the facility at least 1 week in advance as specified.

Noncompliance Area: Two children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#2 and #5)

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: One child's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff prior to admission. (#7)

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. Obtain and submit written verification of signed parental consents for the identified children as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1-hired 12/14/18-hired more than 90 days and no completed CHILD ABUSE). Documentation reviewed on 10/2/19 did not include written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the timeframes in accordance with the CPSL. CONTINUING NON-COMPLIANCE

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the timeframes in accordance with the CPSL.

Noncompliance Area: One staff person's record did not contain written verification of experience for their aide position. (#2)

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of experience for the identified staff person.

Noncompliance Area: On 10/2/19, at approximately 11:30am, a mix-aged group of infants (0-12 months) older toddlers (2 years of age) and preschool (3 years to first day of kindergarten) children were observed being cared for by one staff person (#2) in the Little Explorers classroom when staff person (#2) left the room to tend to a task. Staff person #1 verified the ages of the children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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). The legal entity must arrange for all facility staff to receive DHS approved staff/child ratio training to include mixed-age groupings. Submit written verification of the completed training for all facility staff.

Noncompliance Area: Several electrical outlets lacked protective covers (Little Explorers room and in both upstairs children's bathrooms).

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers when not in use.

Noncompliance Area: The indoor temperature was not at least 65 F on the first floor. The indoor temperature registered at 59 F. There was a problem with the battery in the heater unit. Documentation reviewed on 10/2/19 did not include written documentation of the service repair. CONTINUING NON-COMPLIANCE

Correction Required: The indoor temperature shall be at least 65 F. 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. Children cannot return to care if the temperature is not at least 65 F. Submit written documentation of the service repair to the heating unit.

Noncompliance Area: On 4/3/19, the exit by the 2nd floor rear classroom was obstructed by an infant care seat. Documentation reviewed on 10/2/19 did not include written verification of staff notification that included each staff person's signature. CONTINUING NON-COMPLIANCE

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the item and ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit remain unobstructed. Notify staff of this requirement and submit written verification of staff notification/ that includes each staff person's signature.

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3 and #4). CONTINUING NON-COMPLIANCE

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). Complete and submit a current up-to-date child service report for the indicated children. Provide child service report training for all facility staff. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance. Submit a copy of the completed training for all facility staff persons.

Noncompliance Area: One facility person's health assessment did not include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment in accordance with 3270.151(a). (#1)

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Obtain and submit written documentation from the staff person's physician verifying negative Manotux TB testing within 12 months prior to date of initial employment. Ensure that facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1-hired 12/14/18-CHILD ABUSE more than 60 months old. CONTINUING NON-COMPILIANCE

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 until the up-to-date completed CHLID ABUSE has been obtained and submitted. Submit a copy of the required CPSL clearance document for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the timeframes in accordance with the CPSL.

Noncompliance Area: The facility lacked a qualified director. The person listed on the staff data sheet as the director was not present at the time of the inspection and unable to show acceptable photo identification to verify their identity and establish that the individual name matches the qualification documentation on file. (#1) CONTINUING NON-COMPLIANCE

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6). The director must be present and able to show acceptable photo identification to verify their identity establish that the individual name matches the qualification documentation on file. Ensure that that director is present as specified in this regulation in order to verify their identity and establish their qualifications.

Noncompliance Area: On 4/3/19, the indoor temperature was not at least 65 F on the first floor. The indoor temperature registered at 59F. CONTINUING NON-COMPLIANCE.

Correction Required: The indoor temperature shall be at least 65 F. Take necessary steps to ensure that the indoor temperature is at least 65 F throughout the facility. Children cannot return to care if the temperature is not at least 65 F. Submit written documentation to verify compliance.

Noncompliance Area: The exit by the 2nd floor rear classroom was obstructed by an infant care seat. CONTINUING NON-COMPLIANCE

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the item and ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit remain unobstructed. Notify staff of this requirement and submit written verification of staff notification/ that includes each staff person's signature.

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3 and #4). Documentation submitted on 6/24/19 did not include a copy of the current up-to-date child service report for the indicated children and written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

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). Complete and submit a current up-to-date child service report for the indicated children. Provide child service report training for all facility staff. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance. Submit a copy of the completed training for all facility staff persons.

Noncompliance Area: One child's emergency contact information did not include the health insurance policy number. (#4)

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. Obtain and submit the health insurance policy number for the identified child. Ensure that all children's records include the health insurance information as specified in this regulation.

Noncompliance Area: One child has been enrolled in the facility for more than 60 days and their record did not include a health report that contained the required contents and assessments. It also did not contain the physician, physician's assistant or a CRNP's signature and professional title. (#2)

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 health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report for the indicated child that has been signed by the physician, physician's assistant or a CRNP's signature and professional title. Ensure that all children's health reports are provided within 60 days of enrollment properly signed as specified in this regulation.

Noncompliance Area: One facility person's health assessment did not include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment in accordance with 3270.151(a). (#1) Documentation submitted on 6/4/19 did not contain written verification of negative Manotux TB testing within 12 months prior to date of initial employment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Obtain and submit written documentation from the staff person's physician verifying negative Manotux TB testing within 12 months prior to date of initial employment. Ensure that facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: The facility did not have a menu posted at least 1 week advance or provide a menu to each family.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Post a current menu or provide written verification that a menu is provided to each family. Ensure that menus are posted at least one week in advance or provided to each family.

Noncompliance Area: The operator lacked verification of the annual written notification to local traffic safety authorities 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. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified.

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#2)

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1-hired 12/14/18-hired more than 90 days and no completed CHILD ABUSE). Documentation submitted on 6/24/19 did not include written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the timeframes in accordance with the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 until the completed CHLID ABUSE has been obtained and submitted. Submit a copy of the required CPSL clearance document for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the timeframes in accordance with the CPSL.

Noncompliance Area: The facility lacked a qualified director. The person listed on the staff data sheet as the director was not present at the time of the inspection and unable to show acceptable photo identification to verify their identity and establish that the individual name matches the qualification documentation on file. (#1) Facility not able to be assessed to verify director's presence and identity on 7/8/19.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6). The director must be present and able to show acceptable photo identification to verify their identity establish that the individual name matches the qualification documentation on file. Ensure that that director is present as specified in this regulation in order to verify their identity and establish their qualifications.

Noncompliance Area: There was no written documentation verifying that the director had completed written evaluations of staff persons on a regular basis, a minimum of one evaluation every 12 months. (32, #3 and #4)

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Submit copies of the completed written staff evaluations for the indicated staff person. Ensure that written staff evaluations are completed in accordance with this regulation.

Noncompliance Area: The indoor temperature was not at least 65 F on the first floor. The indoor temperature registered at 59 F. Documentation reviewed on 7/8/19 did not include written documentation of the service repair.

Correction Required: The indoor temperature shall be at least 65 F. Take necessary steps to ensure that the indoor temperature is at least 65 F throughout the facility. Children cannot return to care if the temperature is not at least 65 F. Submit written documentation to verify compliance.

Noncompliance Area: A toilet in the bathroom used by children was dirty. (2nd floor rear bathroom)

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. Clean the toilet and ensure that all surfaces in the facility are kept clean as required. Develop and submit a written cleaning schedule to ensure ongoing cleaning.

Noncompliance Area: Hand washing signs were not posted at each toilet in the facility. (2nd floor rear toilet)

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Post hand washing signs at each toilet specifying that a facility person and an able child shall wash his hands after toileting and before eating as required.

Noncompliance Area: The exit by the 2nd floor rear classroom was obstructed by an infant care seat. Documentation submitted on 6/24/19 did not include written verification of staff notification/ that included each staff person's signature.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the item and ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit remain unobstructed. Notify staff of this requirement and submit written verification of staff notification/ that includes each staff person's signature.

Noncompliance Area: Toys and play equipment observed in the rear play yard used by the children were broken and in disrepair.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Repair, replace or discard the broken toys and play equipment.

Noncompliance Area: One child was observed resting on a cot that was not labeled for the use of that specific child and used only by that child.

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. Label the rest equipment for use of a specific child and ensure that children only rest on equipment labeled for their specific use.

Noncompliance Area: One child's record did not contain a child service report that had been completed within the past 6 months. (#1)

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). Complete and submit a current up-to-date child service report for the indicated child/children. Ensure that all child service reports are completed every 6 months in accordance with this regulation. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#2)

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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: Children were observed being cared for in child care spaces and their emergency contact information was not present in the classroom. (2nd floor preschool classroom and toddler classroom)

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in several classrooms/child care spaces. (infant room, 2nd floor preschool rom and preschool lesson room)

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. Post the plan in each classroom/child care space and ensure that it that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: One child has been enrolled for more than 60 days and their record did not contain a current, up-to-date health report. (#2)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current, up-to-date health report within 60 days of enrollment.

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months. (#1)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One staff person's record did not contain a health assessment completed within the past 24 months. (#2)

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.Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that health assessments are dated and completed within the required timeframes.

Noncompliance Area: Two children's records did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. The form only had the parent's initials. (#1 and #3)

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. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 6 hours of child care training. (#2)

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. Obtain and submit written verification of annual minimum 6 hours of child care training for the identified staff person.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training. (#2)

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. Obtain and submit written verification of annual fire safety training for the identified staff person.

Noncompliance Area: One staff person's record did not contain written verification of experience for their assistant group supervisor position. (#1)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Obtain and submit written verification of experience for the identified staff person.

Noncompliance Area: Windows above the ground floor (2nd and 3rd floor) that open directly to the outdoors and that were accessible to children were not modified to limit the opening to 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches. Make necessary modifications to limit the opening to 6 or fewer inches.

Noncompliance Area: A broken window pane was observed in the toddler classroom.

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. Repair or replace the broken window. submit written documentation for verification of compliance.

Noncompliance Area: Two bathrooms used by children lacked lighting as the light bulbs were not working. (2nd and 3rd floor)

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Replace the light bulbs or make necessary repairs to ensure that the bathrooms have light.

Noncompliance Area: Staff person #2 and #3 were observed caring for 7 young/older toddler and preschool age children and staff person #3 not able to name the children in their 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.Train all facility staff person in proper supervision of children, including procedures for assigning staff the responsibility for supervision of specific children as well as for staff persons knowing the names of the children in their assigned group. Submit written verification of the completed training for all facility staff persons. Submit written documentation of the facility's procedures for assigning supervision responsibility.

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#2 and #3)

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).Complete and submit a current up-to-date child service report for the indicated children. Ensure that all child service reports are completed every 6 months in accordance with this regulation

Noncompliance Area: Nine children were observed being cared for in a classroom and emergency contact information for three of the chldren was not present in the classroom. (#5, #6 and #7)

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.Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: One child's record contained a health report completed more than 60 days (6 months) following the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. Revise written policies and procedures to ensure that children's initial health reports are completed and provided as specified in this regulations. Submit a written copy of the revised policies and procedures.

Noncompliance Area: Several children's records contained emergency contact and financial agreement information that had not been reviewed and updated within the past 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Revise and submit written policies and procedures to ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. It had initials rather than the parents signature indicating consent. (#2)

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. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1)

Correction Required: A facility person`s record shall include verification of age. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: One staff person's record did not contain verification of age. (#1)

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. Obtain and submit written verification of age for the identified staff persons. Ensure that all facility staff records contain written verification of age.

Noncompliance Area: One staff person's record did not contain written verification of initial emergency plan training. (#1)

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. Obtain and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment, on an annual basis and at the time of each plan update as specified.

Noncompliance Area: Several electrical outlets in the second floor classroom lacked protective covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers.

Noncompliance Area: Fire drill records did not specify the hypothetical location of the fire.

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. Ensure that the hypothetical location of the fire is recorded for each fire drill conducted at the facility. Submit a written copy of fire drills completed for the next 60 days for verification of compliance.