Rays Little People Paradise Learning Academy Llc

Noncompliance Area: During renewal inspection on 5/13/19 certification rep reviewed several children's files. Child # 3 had the address for 2 of the 3 release persons on emergency contact form and child # 5 had the address of 1 of the 2 release persons.

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

Noncompliance Area: During renewal inspection on 5/13/19 certification rep reviewed several children's files. Child # 1 and child # 4 did not have health assessments in file - both had immunization records only.

Correction Required: A health report shall include a review of the child's health history. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 5/13/19 certification rep reviewed several children's files. Child # 3 emergency contact form and financial agreement were not signed and dated by the parent.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: During renewal inspection on 5/13/19 certification rep reviewed several staff files. Staff # 5, start date 12/18/18, had a State Police Clearance dated 2/22/18 for VOLUNTEER purpose and did not have verification of mandated reporter training.

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

Noncompliance Area: During renewal inspection on 5/13/19 certification rep reviewed several staff files. Staff # 2 last staff evaluation was dated 7/11/17.

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

Noncompliance Area: During renewal inspection on 5/13/19 certification rep observed the first aid kit in the Preschool room was on a low shelf and the first aid kit in the school age room was on top of the cubbies. Both were accessible to the children in those rooms.

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

Noncompliance Area: The two cribs used by the two enrolled infants were not labeled with their names.

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: From approximately 7:50 AM until approximately 8:15 AM, the 8-9 children in care were observed to be sitting at a table in the young toddler room without engaged in or provided with any activities. According to staff statements, they were waiting for breakfast. Breakfast was served to the children at approximately 8:15 AM.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Noncompliance Area: ) The agreement form for Child #2 lacked a signature from the Operator and the Parent. The agreement form for Child #3 lacked a signature from the Operator.

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

Noncompliance Area: The child service reports on file for Children #2 and #4 lacked a date to verify that it had been completed within the last 6 months. The file for Child #5 lacked a completed child service report and the child has exceeded 6 months in care at this time.

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 agreement form for Child #5 lacked designated release persons

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

Noncompliance Area: The agreement form for Children #2 and #3 lacked an admission date.

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

Noncompliance Area: The emergency contact form for Child #2 lacked the child's birthdate

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: The emergency contact form for Children #2 and #5 lacked the physician information

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

Noncompliance Area: The emergency contact form for Children #1 and #5 lacked the health insurance coverage and policy information for the children.

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 form for Child #2 lacked the addresses for the release persons listed. The emergency contact form for Child #5 lacked the release person name, address and telephone numbers.

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: There were nine children observed receiving care in the young toddler room. There were no emergency contact forms in the classroom for six of these children.

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

Noncompliance Area: Verification that the emergency contact forms and financial agreements for Children #1, #2, #3, #4 and #5 were updated within the last 6 months was not on file.

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 informationA 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 files for Children #2 and #5 lacked initial health assessments and the children have exceeded 60 days in child care. The health assessment on file for Child #4 was not completed within the 60 days following the child's first day of care.

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 #3 lacked immunizations for the child.

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

Noncompliance Area: The health assessment on file for Child #3 and #4 lacked a statement from the physician that they are able to participate in child care and free from contagious and 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: There were sample packets of medications (burn gel, triple antibiotic ointment, nonaspirin) in the first aid kits in the older toddler, young toddler, infant 1 and infant 2 room not labeled with the name of a child.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Diapers were not disposed of in a hands-free plastic-lined trash can in the infant 2 room.

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: There was no health assessment or TB test on file for Facility Person #1. The health assessment and TB test on file for Facility Person #3 was completed more than 1 year prior to her start date.

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

Noncompliance Area: There were no written feeding schedules from the parents of the infants enrolled (children #5 and #7.) On 12/4/18, there was no feeding schedule at the facility for the one remaining enrolled infant child #5.

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

Noncompliance Area: There were four bottles not labeled with the child's name.

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

Noncompliance Area: There was no letter sent to the 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.

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: The emergency contact form for Children #2, #4 and #5 lacked signed parental consent for obtaining 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: The emergency contact form for Children #2, #4 and #5 lacked signed parental consent for administration of minor first aid procedures by facility staff.

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: There were no written nonfamily references on file for Facility Person #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

Noncompliance Area: A pair of hair cutting scissors were observed on the desk in the Computer Classroom.

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

Noncompliance Area: There was no documentation of emergency plan training conducted in the last 12 months on file for Facility Person #4. The documentation of emergency plan training on file for Facility Person #5 was not dated.

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: There was no documentation of any firesafety training completed by Facility Persons #4 and #5 within the last year.

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: There was no documentation of any child care training completed during the most recent review year (between anniversary dates) on file for Facility Person #5.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The criminal history clearance on file for Facility Person #1 was a volunteer clearance. The three clearances on file for Facility Person #2 were expired as follows: criminal history completed on 1/31/13; child abuse clearance completed on 2/15/13; FBI clearance completed on 2/2/13 - all have not been updated after 60 months. At approximately 8:30 AM, Facility Person #2 left the facility with a preschooler, child #6 to walk her to school. There were no other staff persons present with Facility Person #2.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 and #2 may not work in a child care position at the facility without all completed clearances on file. . A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: There were no staff evaluations on file for Facility Persons #5 and #6, both employed at the facility longer than one year.

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

Noncompliance Area: There was no documentation of any child care experience on file for Facility Person #1, serving as the director.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year 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.

Noncompliance Area: At 7:50AM Facility Person #4 was supervising 1 infant, 1 older toddler, 2 preschoolers, 2 young school agers, and 2 older school agers with no other facility persons in the building. According to staff statements and review of sign-in documentation, there were two children that arrived at 6:10 AM, and Facility Person #4 was the only facility person in the building until Facility Person #3 arrived at approximately 8:05. On 12/4/18, Facility Person #4 was supervising 1 infant 1 older toddler, 3 preschoolers, 1 young schoolager, 2 older schoolager.

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

Noncompliance Area: At 7:50AM Facility Person #4 was supervising 1 infant, 1 older toddler, 2 preschoolers, 2 young school agers, and 2 older school agers with no other facility persons in the building. According to staff statements and review of sign-in documentation, there were two children that arrived at 6:10 AM, and Facility Person #4 was the only facility person in the building until Facility Person #5 arrived at approximately 8:05. On 12/4/18, Facility Person #4 was the only faclility person in the building supervising 1 infant, 1 older toddler, 3 preschoolers, 1 young schoolagers, and 2 older schoolagers. According to documentation, there were two children that arrived at 5:58 AM, and Facility Person #4 was the only facility person in the building until Facility Person #4 arrived at approximately 7:55 AM.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Correction may be verified by multiple visits.

Noncompliance Area: At approximately 8:05 there were 9 children (1 infant, 1 older toddler, 3 preschoolers, 2 young school agers, 2 older schoolagers) receiving care in the young toddler room which has a measured capacity of 8 children. At approximately 9:55 there were 4 young toddlers receiving care in the infant 1 room which has a measured capacity of 3 children.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: There were uncovered outlets in the following locations: one on the wall near the floor in the infant 2 room, two on the wall near the floor in the young toddler room, in the upstairs Older Toddler classroom 2 outlets on a power strip near the computer desk and 1 on the wall to the right of the windows, in the upstairs Computer room 3 outlets on one power strip and 2 on another power strip, and in the downstairs play space 3 outlets on the wall.

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

Noncompliance Area: In the upstairs Older Toddler classroom a container of Clorox wipes was observed on the table. 5 first aid kits were observed on the table and 3 of the kits contained hand cleansing wipes, antiseptic wipes, antimicrobial wipes and alcohol prep pads. In the upstairs restroom between the Older Toddler and Computer Classroom a bottle of Lysol disinfecting spray was observed. On the top of a filing cabinet in the Computer Room a bottle of Cocoa Butter was observed. In the upstairs kitchen area that was not restricted with a door or gate a bottle of comet bleach, oil soap and steel meister cleaner was observed on a shelf about the sink. In the unlocked utility sink area in the upstairs restroom a bottle of ajax bleach cleaner and comet bleach cleaner was observed on the floor. In the Computer Classroom a bottle of hand sanitizer was observed on the desk next to the computer and a bottle of white out was observed in front of the computer monitor. A hand sanitizer dispenser was observed on the wall next to the doorway upstairs. The hand sanitizer is accessible to school age children who are reported to be cared for in the space. In the downstairs play space a container of Clorox wipes was observed next to the sink. In an unlocked closet at the top of the stairs leading to the downstairs play space a container at Fabuloso, a bottle of Krylon spray paint and a bottle of windex was observed. There were hand sanitizer dispensers on the wall, in reach of children in both infant rooms and the young toddler room downstairs. There was a bottle of hand sanitizer on the floor in the infant 2 room. There were 3 cans of Glade air freshener in a low drawer in the infant 2 room, in reach of children. In the restroom off of the young toddler room, there was a can of Hot Shot bedbug killer, Febreze spray, and bleach water under the sink in an unlocked cabinet. and a can of carpet cleaner in the medicine cabinet. The medicine cabinet was in reach of the school age children observed in the young toddler room and restroom. All of these items were labeled "keep out of 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: The hot water in the downstairs play space was measured at 124.9 degrees F. The hot water in the boys restroom was measured at 120 degrees F. On 12/4/18 the hot water in the girls restroom was measure at 128 degree F and the boys restroom was measured at 117 degrees F.

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

Noncompliance Area: The three windows in the upstairs Older Toddler Classroom the three windows were not restricted to limit the opening to less than 6 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.

Noncompliance Area: A first aid kit was not present in the upstairs computer classroom

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: The first aid kit in the young toddler room was on a shelf in reach of the school-age children in care in that room.

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

Noncompliance Area: The first aid kit in the upstairs older toddler classroom did not include soap. The first aid kits in the young toddler and infant 1 room did not include soap or scissors.

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: In the downstairs play space a section of the wall was observed to be slightly separated from the baseboard. Operator reported that there had been a flood in the basement and this was a result from that flooding.

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: Peeling paint was observed on the wall behind the changing table in the infant 2 room and on the wall to the left of the entry, near the window, in the young toddler room.

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

Noncompliance Area: There was no lidded trash can located in the restroom in the young toddler room.

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

Noncompliance Area: Observed that styrofoam plates were used at lunch time.

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: Observed that child #3 did not have an agreement on file.

Correction Required: The operator shall review with the parent, at the time of application, the facility`s general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: Observed that child #2 and #4's agreement did not specify the amount of the fee to be charged per day or per week.

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

Noncompliance Area: Child #2's agreement did not specify the date on which the fee is to be paid.

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

Noncompliance Area: Child #1 did not have a child service report on file.

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: Child #5's agreement did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: Child #'3's emergency contact information did not include emergency contact name who shall be contacted in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Child #3's emergency contact did not the address and telephone number of the child`s physician or source of medical care.

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

Noncompliance Area: Child #4's emergency contact information did not include the home address of the enrolling parent. Child #2, #3, #4 and #5's emergency contact information did not include the work addresses of the enrolling parent. Child #2, #3 and #5 emergency contact information did not include work telephone numbers of the enrolling parent.

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

Noncompliance Area: Child #5's emergency contact information did not include health insurancce coverage. Child #4's emergency contact information did not include 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: Child #2 and #3's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: Observed that the young toddlers room did not have an emeregency transporting of a child to emergency care plan posted.

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.

Noncompliance Area: Staff person #1's health assessment expired as of 8/26/2017. Staff person #3 did not have a health assessment conducted within 12 months prior to providing initial service in a child care setting.

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: Staff person #4's file did not include a health assessment including tuberculosis screening by the Mantoux method.

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: Observed that a menu was not posted in a conspicuous location in the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: Observed that the facility did not have pick-up drop-off points or safe routes posted in a conspicuous location in the facility.

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

Noncompliance Area: Child #4's record did not contain signed parental consent for emergency medical care for the child and administration of medications or special dietary needs.

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 medications or special dietary needs.

Noncompliance Area: Child #4's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff, transportation and walking excursions.

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.A child`s record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: Staff person #1's record did not include verification of child care experience.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person #3's record did not include a copy of the disclosure statement.

Correction Required: A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Observed that a copy of the applicable regulations and instructions for contacting the appropriate regional day care office were not posted in a conspicuous location.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Observed that shelter in place plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Noncompliance Area: Staff person #1, #2, #3, #4, #5 and #6 did not have verification of emergency plan training on file.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: Staff person #6 did not have an annual minimum of 6 clock hours of child care training on file.

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

Noncompliance Area: Observed 1 staff person to 9 children. With the older child being age 2 and the youngest age 1.

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: Observed the young toddler room on the 1st floor had 9 children in care but the capacity of the room is 8 children.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: Observed cleaning product accessible to children in the cabinet of the girls bathroom on the1st floor. Observed cleaning supplies accessible to children in the 2nd floor bathroom,

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: The water temperature in the 1st floor girls bathroom measured at 158 F. The water temperature in the 2nd floor bathroom measured at 139 F.

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

Noncompliance Area: Observed that the first-aid kit in the older toddler room on the 2nd floor did not contain soap and scissors.

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: Observed broken phone jack in middle infant room. Observed chipped tiles in entryway to the infant room. Observed rips in the carpet throughout the facility.

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

Noncompliance Area: Observed chipped paint throughout the facility.

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

Noncompliance Area: Observed that exit from the facility was obstructed.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: Observed that the young toddlers room did not have evacuation routes posted.

Correction Required: Evacuation routes shall be posted.