Ready Set Learn Early Childhood Lrng Center

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 10/01/24 the emergency contact form reviewed for child #1 did not include the PCP name.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 10/01/24 the emergency contact form reviewed for child #1 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 10/01/24 the file reviewed for staff person #1 did not include annual 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On April 30, 2024 during the unannounced inspection on top of a small refrigerator in the back infant childcare space, four bottles were observed without being labeled with the children's names.

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: On April 30, 2024 during the unannounced inspection three outlets were missing protective covers in the middle, second room childcare space. One outlet cover was missing in the front main room childcare space near the television.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: On April 16, 2024 during an unannounced inspection staff #1 and #2 CPR certificate reviewed was not acceptable and did not specify Pediatric. In addition, Staff #1's training was not an approved training program and staff #2's was not acceptable due to being an online course.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On April 16, 2024 at approximately 10:15am during complaint investigation staff member #1 was observed leaving staff member #2 alone in the front childcare space. There were 9 children, with the youngest child being 2 years of age.

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).

Regulation: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: On April 16, 2024 during an unannounced inspection, a 4-seater stroller and an outdoor fence wrapped in plastic was being stored in the indoor play space.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On April 16, 2024 during an unannounced inspection, a black chalkboard wall inside of the indoor play space was damaged with a hole.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On April 16, 2024 during an unannounced inspection the exit in the indoor play space was obstructed with a red 6-seater buggy.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection on 10/05/23 the health record reviewed for child #1 indicated that child was behind on immunizations. Immunization dates were 08/06/20, 10/13/20 and 07/21/23. Child was to return for immunizations August 2023 per physician notes.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the renewal inspection on 10/05/23 there was no first aid kit in the indoor play space.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 10/4/22, a child sustained an injury at the facility and the staff person responsible for the supervision of the child had no knowledge of how the injury occurred. (child #1) (staff #1)

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 arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must also submit a plan for supervision to put practices in place to ensure that children are supervised at all times. Submit written verification of the completed training for all facility staff persons as well as the supervision plan.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 10/4/22, a child sustained an injury at the facility and the staff person responsible for the supervision of the child had no knowledge of how the injury occurred. (child #1) (staff #1)

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. Children must be supervised at all times. Ensure that children are supervised at all times.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 10/4/, a 22, child #1 sustained an injury and the facility did not provide the parent the original report on the date of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Ensure that parents are provided the original report on the day of the incident involving an injury, accident or illness. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: One staff person's record did not contain written verification of required health and safety training completed within 90 days of hire. (#1)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Obtain and submit written verification of the completed required health and safety training for the identified staff persons. Staff person cannot work alone with children until the required health and safety training has been completed.

Regulation: 3270.34(b)(4)/3270.192(2)(iv)

Description: Associate's, 30 credits + 4 yrs/Transcript, diploma and letters

Noncompliance Area: The record of the staff person identified as the facility director did not contain a transcript indicating the date the degree was awarded or conferred or a copy of the degree. (#2)

Correction Required: A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children. 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. Obtain and submit written verification of the transcript indicating the date the degree was awarded or conferred or a copy of the degree for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 6/28/22, a facility person used cursing and vulgar language in the presence of children while parents were dropping their children off for care at the facility. The operator acknowledged this at the time of the investigation.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. Revise facility policies regarding the prohibition of using harsh, demeaning and abusive language in the presence of children. Notify all facility staff in writing that the use of using harsh, demeaning and abusive language in the presence of children is prohibited by regulation. Submit written verification of the revised policies and facility staff notification.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 7/8/22, at approximately 2pm, staff person #1 was observed caring for mixed aged group of 15 preschool and school age children. 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). Develop and submit a written staffing plan including provisions for staff shortages or emergencies and operational tasks that impact staffing to ensure ongoing compliance.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 7/8/22, at approximately 2pm, staff person #1 was observed caring for mixed aged group of 15 preschool and school age children. 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 required staff:child ratios must be maintained at all times.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 6/8/22, at approximately 6:40am, only one staff person was present at the facility when five children were in care. This was acknowledged by the operator at the time of the investigation.

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. The legal entity must ensure that there are at least two facility persons present when two or more children are in care. Develop and submit a written staffing plan including provisions for staff shortages or emergencies and operational tasks that impact staffing to ensure ongoing compliance.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedure updates to the plan as required in 3270.27 subsection a. Revise the letter given to parents to ensure that it explains the emergency procedures and updates to the plan 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. Submit a copy of the revised letter.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 2/2/22, at approximately 3pm, 8 older toddler age children (2 years old) were observed being cared for by staff person #1 in the older toddler classroom. Staff indicated it was nap time, but most of the children were not resting on rest equipment. The ages of the children were verified by staff persons present

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. Revise and submit a written staffing and child transition plan that include nap arrangements to ensure that staff/child ratios are maintained at all times.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 2/2/22, at approximately 3pm, 8 older toddler age children (2 years old) were observed being cared for by staff person #1 in the older toddler classroom. Staff indicated it was nap time, but most of the children were not resting on rest equipment. The ages of the children were verified by staff persons present.

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. The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times.

Noncompliance Area: One child/Two children's records did not contain health reports completed every 6 months as required for children infant to young toddler age. (#1)

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. Revise and submit written policies and procedures to ensure that health reports are obtained every 6 months for children infant to young toddler age.

Noncompliance Area: Two children's records did not contain health reports completed every 12 months as required for children older toddler age to preschool age. (#2 and #3)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Revise and submit written policies and procedures to ensure that health reports are obtained every 12 months for children older toddler to preschool age.

Noncompliance Area: Children were observed eating snack and staff did not ensure that the children's hands were washed before eating.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The legal entity must arrange for all staff persons to be trained staff persons in proper hand washing requirements and procedures. Submit written verification of the completed training for all facility staff.

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 6 hours of child care training. (#1)

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: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1- hired 6/18/14- no completed updated STATE POLICE within 60 months -report reads "under review" previous 12/12/13- recent 8/20/18-"under review" (#1)

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 not work in a child care position at the facility until the required CPSL document has been obtained and submitted as specified. Submit a copy of the required CPSL clearance document for the identified staff person. Develop and submit a written plan to ensure that CPSL hiring documents are obtained and properly completed including STATE POLICE clearances reported as under review.

Noncompliance Area: Toxic materials were observed stored on the same shelf as food in the food storage area.

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. Remove the toxic materials and ensure that toxic and cleaning materials are stored away from food.

Noncompliance Area: The facility lacked a sufficient amount of art materials for tactile development in the older toddler classroom.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development. Obtain additional art materials for tactile development in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: One child's record contained health reports that were not completed every 6 months as required for a child from infant to young toddler age. They were completed on 11/30/17 and 8/31/18. (#1)

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. Revise and submit written policies and procedures to ensure that health reports are completed in accordance with this regulation.

Noncompliance Area: Several staff person's records did not contain written verification of annual minimum 6 hours of child care training. (#1, #2, #3, #4, #5, #6, #7, #8 and #9)

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. (#8)

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: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's records did not contain the required CPSL hiring documents. (#4-hired 12/18/17-no proof of request for FBI fingerprinting prior to working with children)(#5-hired 10/3/13- CPSL clearances not completed within in 60 months).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. 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 in accordance with the CPSL. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification of the completed training.

Noncompliance Area: Several electrical outlets/electrical power strip in the facility 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 when not in use.

Noncompliance Area: Surfaces in the facility were in need of cleaning and presented a visible hazard: the carpets in the preschool classroom needed cleaning or replacement; cubbies in the preschool classroom were wobbly and unstable.

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. Complete all cleaning and repairs as specified. Secure the cubbies so that they do not present a hazard. Develop and submit a written schedule for ongoing cleaning and maintenance to ensure compliance.

Noncompliance Area: On 10/8/18, at approximately 6:45am, staff person #1 left three children (1 infant, 1 young toddler and 1 kindergartener) unattended in the preschool room to lock the front door and upon returning was informed by the kindergartener that a child's face was bleeding and had scratches. Staff person had no knowledge of how the scratches occurred.

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. Children must be supervised at all times.

Noncompliance Area: On 10/8/18, a child #1 sustained an injury and the facility did not provide the parent the original report on the date of the incident. The documentation on the report indicated the parent refusal on the day after the incident, not on the date of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Ensure that parents are provided the original report on the day of the incident involving an injury, accident or illness. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

Noncompliance Area: On 2/28/18 at approximately 4pm, children were observed alone and unattended in the van when the driver exited the vehicle to go to the passenger side door to escort children off of the van before the other adult could arrive to supervise the children exiting the vehicle. (staff #1 and #2)

Correction Required: Children may not be left unattended in a vehicle. Ensure that children are not left unattended in a vehicle. The legal entity must arrange for all facility staff to receive training regarding proper supervision of children as it relates to transporting children including boarding and exiting vehicles. The facility must obtain prior DHS approval of the training before completing the training. Submit written verification of the completed training for all facility staff.

Noncompliance Area: On 2/28/18 at approximately 4pm, children were observed alone and unattended in the van when the driver exited the vehicle to go to the passenger side door to escort children off of the van before the other adult could arrive to supervise the children exiting the vehicle. (staff #1 and #2)

Correction Required: Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle. Ensure that children are supervised during boarding and exiting vehicles by an adult who remains outside the vehicle. The legal entity must arrange for all facility staff to receive training regarding proper supervision of children as it relates to transporting children including boarding and exiting vehicles. The facility must obtain prior DHS approval of the training before completing the training. Submit written verification of the completed training for all facility staff.

Noncompliance Area: The facility lacked a sufficient amount of materials in the older toddler classroom for dramatic role playing.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include materials for dramatic role playing. Obtain additional materials for dramatic role playing in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: Toys, play and other equipment used by children were in need of cleaning and /or repair; specifically the kid's sofa in the older toddler room and torn mats in the preschool room.

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. Clean the kid's sofa and repair or replace the torn mats. Submit a written cleaning schedule to ensure that all toys, play and other equipment used by children are cleaned on a regular basis. Ensure that all broken toys and equipment are repaired or discarded.

Noncompliance Area: Daily activities did not promote the development of skills, social competence and self-esteem when a staff was observed unable to engage and involve children in the older toddler classroom in purposeful activity and routines. During the observation the staff person was trying to run after multiple children while other children were sitting or standing without being engaged in any activity.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for young toddlers and classroom management. The legal entity must ensure that the training is completed through the PA Key. Submit written verification of the completed training for all facility persons.

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#1)

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 the preschool classroom and their emergency contact information was not present in the 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: One child's record did not contain a health report completed within the past 12 months. (#3)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. 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 was observed changing a child's diaper and did not ensure that the child's hands were washed after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The legal entity must arrange for all staff persons to be trained in proper hand washing procedures. Submit written verification of the completed training for all facility staff.

Noncompliance Area: One staff person's record did not contain a health assessment completed within 12 months prior to the date of hire. (#5)

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: One staff person was observed changing a child's diaper and did not wash her hands after diapering the child. (staff #11)

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. The legal entity must arrange for all staff persons to be trained in proper hand washing procedures. Submit written verification of the completed training for all facility staff.

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: On 12/18/17 children were being transported from the facility and written parental consent to transport the children was not given to the driver or other staff persons of the vehicle transporting the children. (child #4)

Correction Required: Written parental consent for transportation and written parental instructions regarding treatment of a child's problem or special need that may require care during transportation shall be given to the operator or attendant of a vehicle transporting the child. Ensure that written parental consent for transportation is given to the operator or attendant of a vehicle transporting children. Notify all staff persons of this requirement. Submit verification of staff notification that includes each staff person's signature.

Noncompliance Area: On 12/28/17, a staff person transported two children in a vehicle that lacked the required insurance.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).On 12/18/17, a staff person transported two children in a vehicle that lacked the required insurance. Obtain and submit written verification of current auto insurance. Ensure that vehicles used to transport children have the required insurance.

Noncompliance Area: On 12/13/17, children boarded and exited a vehicle without an adult who remained outside the vehicle. On 2/28/18, the driver was observed exiting the vehicle and going to the passenger side door of van to escort the children off of the van before the other adult could arrive to supervise the children exiting the vehicle.

Correction Required: Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle. Revise and submit written verification of the facility's transportation policies and procedures, including the supervision of children during boarding and exiting vehicles. The legal entity must arrange for all facility staff to receive training regarding supervision of children as it relates to transporting children. The legal entity must ensure that the training is completed through the PA Key. Submit written verification of the completed training for all facility staff

Noncompliance Area: One child's record 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.

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: On 12/12/17, a child sustained an injury and the facility failed to provide the parent an original report of the incident on the day of the incident. (#3)

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Ensure that parents are provided the original report on the day of the incident. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

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. (#5)

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: The operator did not post the facility's current certificate of compliance in a conspicuous location used by parents. The posted certificate of compliance had expired in 2016.

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. Post the facility's current certificate of compliance in a conspicuous location used by parents.

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months. The plan was dated 1/28/16.

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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented annually as specified.

Noncompliance Area: Several staff person's records did not contain written verification of annual minimum 6 hours of child care training. (#!, #2, #3, #4, #6, #7, #8, #9 and #10)

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: There was no written verification that the director completed written evaluations of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Complete and submit copies of staff evaluations for the indicated staff persons.

Noncompliance Area: One staff person's record did not contain written verification that their bachelor`s degree was in early childhood education, child development, special education, elementary education or the human services field as it was awarded in a foreign country and required an equivalency. (#5)

Correction Required: A group supervisor shall have 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. Obtain and submit written documentation of educational equivalency to verify that the bachelor's degree meets the educational qualifications for group supervisor.

Noncompliance Area: A wall outlet and electrical power strip in the upstairs preschool 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: Surfaces in the facility were in need of cleaning, repair and/or presented a visible hazard: the carpets in older toddler classroom were in need of cleaning or replacement; broken chairs and a broken light display in the indoor play space; mats stored on the play apparatus presented a hazard. Complete all cleaning and repairs as specified. Develop and submit a written schedule for ongoing cleaning and maintenance to ensure compliance.

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. Complete all cleaning and repairs as specified. Develop and submit a written schedule for ongoing cleaning and maintenance to ensure compliance.

Noncompliance Area: Peeling and damaged paint and damaged plaster was observed on several surfaces in the facility: peeling paint on floor in preschool classroom, hole in the wall (peeling plaster) in the young toddler classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Make necessary repairs to ensure that there is no peeling and damaged paint or damaged plaster in the facility.

Noncompliance Area: The sink in the bathroom used by children were not at a proper height for the older toddlers and the step stool was not at a sufficient height to make it easily approachable.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. Obtain a platform or steps at an appropriate height to make the sink more approachable for the young toddlers.

Noncompliance Area: Hand washing signs were not posted at each toilet in the facility (older toddlers).

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 the hand washing signs at each toilet as specified in this regulation.

Noncompliance Area: On 11/28/2016, at approximately 5:58pm, a parent notified staff that her child sustained a bite while in care at the facility and the staff persons assigned responsibility for the supervision of the child had no knowledge of how the bite occurred.

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. Children must be supervised at all times. Ensure that children are supervised at times.

Noncompliance Area: On 1/4/2017, at approximately 3:15 pm, staff person #1 and #2 were observed caring for a mixed age group of 9 infants and young toddlers in the infant/young toddler room (infants-12 months and under; young toddlers-1 year olds). On 1/4/2107, at approximately 3:20 pm staff person #3 was observed caring for 12 older toddlers in the older toddler room (older toddlers-2 year olds). Staff persons 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). Train all facility staff in proper staff/child ratios. Revise staffing schedules and develop a written staff/child ratio protocol for handling nap ratio and other times of transition to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons and a copy of the written staff/child ratio protocol.