Resurrected Life Childrens Academy

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #1 is missing the child's physician's telephone number.

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: Child #1 is missing the policy number of the child's insurance.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Child #1 is missing an initial health assessment.

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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Child #1 is missing an updated health assessment, date of last health assessment on file is 1/14/24.

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.

Noncompliance Area: Facility person # 1 hired and working in child care since 4/24/19 has a health assessment and TB test that were over a year old at time of hire from 2/1/18. Facility person # 2 hired and working in child care since 6/18/19 has a health assessment and TB test that were more than a year old at time of hire from 4/20/18.

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

Noncompliance Area: The following children have not had emergency contact forms or fee agreements updated in over 6 months: child 1,2,3,4 & 5. Child # 1 from7/18/18 to 10/21/19. Child # 2 from 9/8/17 to 8/22/19. Child # 3 from 12/17/18 to 10/10/19. Child # 4 from 1/23/19 to 1/8/20. Child # 5 from 10/15/18 to 10/11/19.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: There is no local number for the police or ambulance on the emergency phone list.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: At the time of enrollment a parent does not receive in writing the facility's supervision policies.

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

Noncompliance Area: Children 1-5 do not have the influenza immunization on file. Children 1-5 do not have an exclusion letter on file.

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

Noncompliance Area: In the infant room, inspector observed a bottle that is not labeled with child's name.

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

Noncompliance Area: Staff 1 only has one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. Staff 2 and 3 does not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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: Staff 2 - DOH - 11.26.18- has proof of fbi clearance on file dated 12.12.18 and a completed fbi clearance on file dated 12/12/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the 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: In the transition/preschool room, inspector observed 3 electrical outlets in a power strip that are not covered with protective receptacle covers. The children in this room are 3 and 4 years old.

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

Noncompliance Area: In the transition room/preschool room, inspector observed a bottle of white out that is labeled "keep out of reach of children" in a basket on the desk, accessible to children. In the preschool room, inspector observed white out that is labeled "keep out of reach of children" in an unlocked desk draw that is accessible to 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: On 1/28/19 a complaint investigation was conducted and during the investigation, staff 1 admitted staff 2 left her alone in the toddler room for 5 minutes. Staff 1 qualifies as an aide and admitted to being left alone, unsupervised for 5 minutes with toddler children during naptime.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: Inspector observed torn red/blue mats in the both preschool rooms on the second floor, torn crib mattress in the infant room and a splintered wooden sliding door on a wooden storage cabinet that stores children's toys in the toddler room. The transition/preschool room has blue cots that have fraying corners.

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

Noncompliance Area: Inspector observed the thermometer in the refrigerator in the toddler room registered at 60 F. Both preschool rooms do not have a thermometer placed in the refrigerator.

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

Noncompliance Area: In the preschool room (on the right at the top of the stairs) does not have the written plan of daily activities posted in the group space

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Fee agreement for child 5 is not signed by the operator.

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

Noncompliance Area: Fee agreement for child 4 does not specify the child's arrival and departure times.

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

Noncompliance Area: Fee agreements for children 1, 3, 4, 5, 6 and 7 do not specify the date of the child's admission.

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

Noncompliance Area: Emergency contact information for child 3 does not include health insurance policy number for a child under a family policy or Medical Assistance benefits.

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: Emergency contact information for child 4 does not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Emergency contact information for child 1 does 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: Children 3 and 5 do not have updated fee agreements on file. Children 3, 4, 5 and 8 do not have updated emergency contact forms on file. Child 3 has an emergency contact form on file dated 5.24.18 and a fee agreement on file dated 4.24.18. Child 4 has an emergency contact form on file dated 4.4.18. Child 5 has a fee agreement and emergency contact form on file dated 4.24.18. Child 8 has an emergency contact form on file dated 11.19.15 and 2.22.16. Fee agreement and emergency contact form child 2 was not updated within a 6 month period. Fee agreement for child 6 and 7 and 8 were not updated within a 6 month period. Child 2 has an emergency contact form on file with updates on 11.20.17 and 11.6.18 and a fee agreement updates on file dated 1.2.18 and 11.6.18. Child 6 has a fee agreement update on file dated 9.12.17 and 11.4.18. Child 7 has a fee agreement update on file dated 11.20.17 and 11.6.18. Child 8 has a fee agreement update on file dated 2.22.16 and 11.4.18.

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: Staff 13 provides direct care and comes into contact with the children but does not have a health assessment on file. Staff 4 did not have a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff 4 has a health assessment on file dated 10.3.18.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: Staff 2 has a health assessment on file however health assessment is not signed by a physician, physician's assistant or CRNP

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: Staff 1's adult health assessment does not include tuberculosis screening by the Mantoux method at initial employment.

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.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: Staff 8 has a health assessment on file that does not include an examination for communicable diseases and the results of that examination nor does it include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Children 2 and 4 and 5's emergency contact form does not shall contain signed parental consent for emergency medical care for the child nor does it contain signed parental consent for administration of minor first-aid procedures by facility staff. Children 2 and 4's emergency contact form contains 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.

Noncompliance Area: Provider did not provider staff files for office staff and cook/cleaning person.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: Staff 3's file does 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

Noncompliance Area: Staff 1,4, 5, and 10 do not have proof of emergency plan training at initial hire. Staff 6 does not have proof of emergency plan training from the pervious year (2017) on file to show that emergency plan training was completed annually. Staff 8, 9 and 11 went longer that 12 months without emergency plan training. Staff 8 has emergency plan training on file dated 12.15.16 and 10.19.18, staff 9 has emergency plan training on file dated 8.31.17 and 10.19.18 and staff 11 has emergency plan training on file dated 8.31.17 and 10.19.18.

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: Staff 7,8, 9, 10 and 11 has been employed for more than a year and have not obtain an annual minimum of 6 clock hours of child care training.

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

Noncompliance Area: Staff 6, 7, 8, 9 and 11 have been employed for more than a year and do not have proof of participation of annual fire safety training on file. Staff 14 does not have proof of previous years fire safety training on file but has a current fire safety training on file dated 10.19.18 Staff 6 has fire safety training on file dated 3.22.17, staff 9 has fire safety training on file dated 11.2015 and 3.22.17 and staff 11 has fire safety training on file dated 3.8.17.

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: Staff 1 has been employed for more than 90 days and does not have proof of completed mandated reporter training on file. Staff 2 did not request a state police clearance on first day of hire. Staff 2 request a state police clearance on 11.13.18 and did not receive a completed clearance until 11.14.18. Staff 4 does not have proof of request for fbi clearance nor does staff 4's file contain a completed fbi clearance. Staff 6 does not have an updated disclosure statement on file. Staff 6 has a disclosure statement on file dated 8.17.10. Staff 8 does not have proof of request for the state police clearance and child abuse clearance and has a completed state police clearance on file dated 12.20.16 and a completed child abuse clearance on file dated 12.27.16. Staff 13 has proof of request for state police clearance on file dated 9.6.18 and a completed state police clearance on file dated 9.6.18. Staff 14 has been employed for more than 90 days and does have completed mandated reporter training on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Provider is required contact the Northeast Regional office to attend an existing provider orientation.

Noncompliance Area: Staff 7, 8, 9, 11 and 14 have been employed for more than a year and do not have current annual evaluations on file. Staff 7 and 14 do not have any pervious evaluations on file, staff 8 has an evaluation on file dated 3.15.17, staff 9 has an evaluation on file dated 6.2017 and staff 11 has an evaluation on file dated 7.2017.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Staff 3,7, 8 and 9 do not have proof of education on file to qualify as a group supervisor. Staff 10 has an AA on file however AA does not specify major. Degree on file is not proof to qualify staff 10 as a group supervisor.

Correction Required: A group supervisor shall have 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 3 years of experience with children.

Noncompliance Area: Staff 4 has education on file from another country. There is not documentation on file to explain what level of education the said documentation meets therefore it cannot be determined if staff 4's education meets at least a high school graduate. Staff 4 does not have proof of experience on file to qualify as an assistant group supervisor. Staff 5 does not have proof of experience on file to qualify as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: In the transition room/preschool room, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center is not posted by the telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: The first-aid kit in the preschool room ( top of the stairs to the right - sits above the infant room) is accessible to children.

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

Noncompliance Area: The first-aid kit in the toddler room is missing tape.

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 school age room , inspector observed three sharp nails sticking out of the window where the AC sits in the window.

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: Fire drills are only being conducted in the am. Facility operates 6:30 am-7:30 pm

Correction Required: Fire drills shall be held at different times of the day or night, or both, if applicable. Fire drills shall be held during various program activity times.

Noncompliance Area: Staff 1 does not have a hire date listed in file. Staff 1 proof of request for the fbi clearance on file but does not have a completed fbi clearance on file. Staff 1 does not have proof or request for the child abuse clearance and does not have a completed child abuse clearance on file. Staff 1 does not have mandated reporter training on file. Provider admitted staff 1 is used in classrooms and is part of ratio.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Staff 1 does not have proof of qualifications and experience on file to qualify as an aide. Provider admitted staff 1 is used in classrooms and is part of the ratio in the classroom.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Noncompliance Area: While investigating a complaint, inspector was standing outside of the toddler room speaking with the provider for approximately 10 minutes. Inspector observed staff 2 enter the toddler classroom. Inspector and provider entered the toddler room immediately behind staff 2. Inspector observed staff 3 in the classroom with 7 children, child 1- a young toddler - being the youngest child in the classroom. When provider asked staff 2 where she was, staff 2 stated she was in the infant room helping with food.

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). The required staff:child ratios must be maintained at all times.

Noncompliance Area: On 8/17/18 a complaint investigation was conducted. Staff 6 admitted that she walked into the school age room and observed staff 5 sleeping while children were present

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

Noncompliance Area: On 8/17/18 a complaint investigation was conducted. Inspector asked provider for the names of all staff that are group supervisors. Once provider gave names, inspector requested all staff files for group supervisors. Inspector was given files for staff 1, 2, 3 and 4. After reviewing files for staff 1, 2, 3 and 4, they do not have education and experience on file to qualify as a group supervisor. Staff 1 and 2 do not have experience on file to qualify as assistant group supervisors.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: On 8/17/18, a complaint investigation was conducted. Staff 7 - (owner/director) admitted that the sink in the infant room has not worked for a week and the staff are using wipes to wash hands.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: On 6/1/13 and 6/13/18, a complaint investigation was conducted. Staff 1 admitted 1 staff is alone with 3 children from 6:45 until 7 until the nest staff person arrives.

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.

Noncompliance Area: On 6/1/18 and 6/13/18, a complaint investigation was conducted. Staff 2 admitted to being in her office in the building next door (the church) to the center and not in the center itself for 30 hours a week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: On 6/1/18 and 6/13/18, a complaint investigation was conducted. On 6/1/18, inspector observed staff 1 alone in the preschool room with 10 children (2 - two year olds and 8 - school agers). Also while investigating, staff 2 admitted to having a lot of children enrolled when staff 3 started. Staff 3 is in the infant room. During the investigation, it was disclosed to inspector that the infant room was out of ratio in the month of April between the hours of 7am until 8am. Inspector was informed there was 1 staff with 5-6 infants until the next staff came in at 8:00.

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. that the facility is maintaining the required staff:child ratios at all times. 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 3270.51.

Noncompliance Area: Child #1, an infant was observed sleeping in a baby swing. Staff #1 was asked how long Child #1 had been sleeping in the baby swing. Staff #1 stated about 10 minutes.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: There is no financial agreement on file for Child #2.

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

Noncompliance Area: The most recent health report on file for Child #3, an older toddler is dated 6/21/2016.

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.

Noncompliance Area: The inspection and emission sticker for the 2004 Chrysler Town and Country vehicle expired at the end of September 2017.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.

Noncompliance Area: The emergency contact information for Child #3 does not include signed parental consent for emergency medical care for the child and also does not contain signed parental consent for minor first-aid procedures by facility staff.

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

Noncompliance Area: Staff #2 does not have proof of previous child care experience on file. Staff #2 also does not have any written, nonfamily references on file. Staff #1 only has one written, nonfamily reference on file. Staff #4 did not have any written, nonfamily references on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Noncompliance Area: Staff #2 has been employed at the facility since 6/15/2017. Staff #2 does not have the FBI clearance or state police clearance on file. The FBI clearance on file for Staff #3 is more than five years old. In addition, the child abuse and state police clearances for Staff #3 were renewed in October 2017, which was more than five years after the previous clearances. Staff #4 has been employed since 8/16/2017, but does not have a state police clearance on file. Staff #2 and Staff #4 have not completed the mandated reporter training. Both Staff #2 and Staff #4 have been employed at the facility for longer than 90 days.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff/Facility Person #2 may not work in a child care position at the facility until the missing clearances (FBI and state police) are requested and received, Staff/Facility Person #3 may not work in a child care position at the facility until the missing clearance (FBI) is requested and received. Staff/Facility Person #4 may not work in a child care position at the facility until the missing clearance (State police) is requested and received. 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: The radiator accessible to children in the Pre-K classroom measured 150 F.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Some of the windows in the upstairs Preschool classroom open more 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: The first-aid kit in the infant room was missing soap. The first-aid kit in the 2016 Ford Transit vehicle was missing tape. There was no first-aid kit in the 2004 Chrysler Town and Country vehicle.

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. A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: Peeling paint/rust was seen on the stalls in the upstairs boys bathroom. Peeling paint was seen on a pillar in the indoor play area.

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

Noncompliance Area: Staff 1 had letter letter of reference on file. Staff 4 had no letters of reference.

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: The facility did not have an emergency plan and regulations posted in a conspicious location for parents. The certificate that was posted was 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.The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff 2 and 3 did not have updated fire safety training on file.

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 were toxics that were accessible in the school age room. Wipes were also accessible on the infant changing table in the infant room.

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 first aid kit in the pre-k classroom was missing twizzers. The school age room was in the cafeteria and did not have a first aid kit available in the area.

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