Shining Stars Childcare Llc

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Upon inspection of children's files, it was found that the health assessment on file dated 5.19.26 for Child #1 did not indicate if the child is able to participate in childcare and appears to be free from contagious or communicable disease.

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

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: Upon inspection of children's files, it was found that the health assessment on file dated 5.19.26 for Child #1 did not indicate if the child received the age-appropriate screenings recommended by the American Academy of Pediatrics since the time of the previous health report required by this section.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 contains a child abuse history clearance dated 6.29.21 which is more than 60 months old. There is no application in the file for an updated child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 must be removed from a childcare position by the close of business [effective 7.16.26] because they do not have all the required clearances or requests for clearances.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Upon inspection of each childcare space, the following were found: 1] in the large open room [PreK side] one ceiling tile was damaged AND 2] in the school-aged building one ceiling tile was damaged near the computer desk.

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

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Upon inspection of the facility fire safety logs presented for inspection, it was found that the following test date ranges exceeded the maximum 30-day requirement: 12.4.25 - 1.5.26 [32 days] and 5.1.26 - 6.1.26 [31 days]. Further, it was found that this regulatory requirement was cited on 11.5.25 [SIN#00277389] and the accepted plan of correction and maintenance plan was not implemented as written.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: An infant under 6 months of age was not being held while being bottle fed. The infant was laying on a bobby on the floor. (CORRECTED ON SITE)

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bag of rock salt was observed in the front lobby, in an area accessible to children when entering/exiting the building. (CORRECTED ON SITE)

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 20.71(a)(5)

Description: Mistreatment or abuse of a child/children cared for in facility

Noncompliance Area: Staff person #1 has been named as a perpetrator in an indicated report of child abuse.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for mistreatment or abuse of a child/children cared for in facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and staff #2 were responsible for a group of 11 preschool aged children. Staff person #1 identified 3 of the children as being in their care group, and staff person #2 identified 6 of the children as being in their care group. Staff person #1 and staff person #2 each missed 1 child in their groups.

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

Regulation: 3270.21/3270.182(7)

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

Noncompliance Area: Child #1 was in care at the facility on Monday, 11/3/2025. During multiple interviews with staff, it was reported that the child was acting normal upon arrival to the facility and was very upset by the end of the day. The child's parent reported that the child was inconsolable when picked up that day. On 11/4/25, the child was taken to the hospital and was diagnosed with a buckle fracture to the left leg. The medical team at the hospital determined that the child could not have caused the injury. The injury would have occurred due to the action of another person not the child. During an interview on 11/5/25, without prompting, staff person #1 immediately named child #1 and stated a concern for a leg injury. Staff person #1 stated this was reported to both the mother of the child and to the person in charge at the facility, which both of them deny.

Correction Required: TIERED LIS 1. Conditions at the facility may not pose a threat to the health or safety of the children. 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. This portion of the plan shall have an immediate correction date. 2. Facility leadership must complete TA (with an approved Health and Safety Consultant) to write (or revise) and implement a policy regarding staff response to accident, injuries and other medical emergencies, including actions taken when facility staff do not adhere to the policy. Facility leadership will submit the policy to DHS for approval. After the policy is approved by DHS, all staff will be trained on the center policy. All staff must sign and agree to adhere to the center policy. Documentation that all staff were trained and signed the policy must be kept on file at the facility. The operator shall provide a date for when this correction will be completed.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the log on file at the time of inspection, 33 days had lapsed since the most recent manual test of the fire detection system. The last logged test was dated 10/3/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff person #1 was observed caring for a group of 11 preschool aged 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.

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record on file for child #1 was not in accordance with the schedule recommended by the ACIP. The child's record did not include the 4th age-appropriate DTap dose and the 2nd Hepatitis A dose. The facility had not implemented dismissal policies.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: An area of damaged paint/plaster was observed in the younger toddler space. (CORRECTED ON SITE)

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On the morning of 3/28/25, staff person #1 was alone with 16 preschool aged children. Staff person #2 joined the group after taking school-age children to the bus.

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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the log on file at the time of inspection, 70 days had lapsed since the last fire drill. The last date listed on the fire drill log was 1/17/25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the log on file at the time of inspection, 98 days had lapsed since the last manual test of the fire detection system. The last date listed on the log was 12/20/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: 16 children were present with 2 staff in the school age space. Staff 1 identified 6 children she was responsible for, and staff person 2 identified 8 children she was responsible for. Two children were not accounted for in the care groups.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record on file for child 2 was not in accordance with the schedule recommended by the ACIP. The record did not include documentation that the child has received the age-appropriate 2nd dose of the Hepatitis immunization, nor an appropriate exemption note.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: An Epi pen and liquid allergy medicine were on site for child 1. The medications were not accompanied by a medication log.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A child's lunchbox was observed to be stored with their belongings instead of in the refrigerator. The lunch contained a yogurt. (CORRECTED ON SITE)

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bag of rock salt (ice melt) was observed in the entryway to the school-age room. (CORRECTED ON SITE)

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: A stuffed animal/WubbaNub pacifier was observed attached in a crib with a sleeping infant. (CORRECTED ON SITE)

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.124(b)(7)/3270.124(b)(7)

Description: Name/address/phone release person/Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child 1 did not include complete addresses for the enrolling parent, and for 2 of the listed 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. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The most recent health assessment on file for staff person 2 was more than 24 months old (dated 6/29/21).

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.

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: A 5 month old infant was observed drinking a bottle while laying on the floor (CORRECTED ON SITE).

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: Staff person 1 began working at the facility prior to turning 18. *The staff member is now 18.

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: Staff person 1 and 3 are serving as an assistant group supervisors at the facility. The staff records included documentation of high school diplomas, but did not contain documentation of 2 years (2,500 hours) of child care experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A preschool aged child left their group and walked into another group space. Certification staff noticed the child was no longer with the correct group and was with another staff person in the other space.

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. 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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: 22 preschool aged children were present with two staff.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cribs in the infant room were not labeled. (CORRECTED ON SITE)

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.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The record for child 1 did not include documentation of the child's 4 and 6 month vaccines (per the ACIP schedule).

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The health assessments on file for staff person 1 were dated 10/3/19 and subsequently 1/18/22. More than 24 months lapsed before an updated health assessment was obtained. The initial TB test on file for staff person 2 was more than 12 months old at her start date in a child care position.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contacts on file for children 2 and 3 were not updated timely during the previous year (more than 6 months lapsed before updated parent signatures were obtained). Child 2 - 2/11/21 and subsequently 2/18/22 Child 3 - 6/30/21 and subsequently 3/28/22 (The applicable regulatory suspension was lifted in January of 2022.)

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The base of the doorway leading out of the back of the building was rusty, and a strip of drywall tape was peeling off the wall.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilets located in the two year old room, the older toddler/preschool room, and the school-age space showed evidence of not being cleaned daily (visible buildup inside toilet bowl).

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.111(c)/3270.113(a)

Description: Promote development/Supervised at all times

Noncompliance Area: During a 5-7 minute observation, the following incidents were observed in which staff failed to supervise (see, hear, assess, and direct) the children in their care. Pre-k group - A child was using the restroom and needed staff assistance. The child was undressed and was observed yelling from the bathroom doorway for help for approximately 30 seconds before the child was able to get a staff person's attention. Other children in the group were observed playing in areas that staff could not supervise (see). Preschool group - A child was observed climbing on the table, and laying on a table. Minimal toys were available for the children. Children were observed playing in an area of the room that the staff person was unable to see (supervise). A young toddler was aggressively trying to take a pacifier from another young toddler. Staff failed to respond when the child needed assistance. Certification staff alerted the staff in the space.

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. 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.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: An infant was observed sleeping in a bouncy seat for at least 10 minutes. The infant was not moved to the crib.

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: Upon observation of corrections of prior citation, it was directly observed that staff person changed child's diaper, wiped her hands with a wipe and used hand sanitizer, but did not wash her hands after completion of the operation.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Upon a visual inspection of each childcare space, it was directly observed that facility person #1 completed a diaper change of a child and returned the child to play space without washing the child's hands.

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

Noncompliance Area: Upon review of the personnel files, it was found that both the files for facility person #3 and #4 were missing a health assessment record 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: Upon review of personnel files, it was found that the staff file for facility person #3 and #4 were missing documentation of a completed tuberculosis screening 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.

Noncompliance Area: Upon a visual inspection of each childcare space, it was directly observed that facility person #1 completed a diaper change of a child and immediately made physical contact with another child without washing her hands.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Facility person #1 was hired prior to 2019. The file for facility person # 1 does not contain a signed and dated disclosure statement. Facility person #2 was hired prior to 2019. The file for facility person #2 does not contain a signed and dated disclosure statement. Although the LE has an approved waiver on file effective 1/6/20, it does not apply to this particular concern.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2-- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility.

Noncompliance Area: During a review of the personnel records of the staff persons currently active in the childcare space, it was found that staff person #1 did not have the educational credentials on file to support the position of assistant group supervisor for which she was currently engaged. It was also found that Staff person #2 did not have documented experience on file to support the position of assistant group supervisor for which she was currently engaged.

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.

Noncompliance Area: Upon inspection of the infant care room, it was observed that 2 separate cribs that were currently in use did not have at least 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Upon inspection of the outdoor play space, it was found that the required minimum depth of mulch was not present in the area below the sliding board.

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

Noncompliance Area: Upon review of Child #1 file, an updated Child Service Report was not found.

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: Upon inspection, it was found that one child's medications were in a plastic bag with no prescription label.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: Upon inspection, Staff person #1 was found to be working in an assistant group supervisor role, but did not have the requisite experience hours documented in her personnel file.

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.

Noncompliance Area: It was observed that the emergency contact documents present for review were not updated within the past six month time frame.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: At the time of inspection, the surfacing on the blue and red play furniture was torn and the inner foam was exposed/accessible. A significant amount of the nap mats in the one year old classroom space were torn and the foam was exposed. Some of the torn mats were used during naptime.

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.

Noncompliance Area: At the time of inspection, a child was observed sleeping in crib in transitional one year old room. There was only two feet of free space on just one side of the crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: At the time of inspection, the record for child 1 included a Child Service Report (CSR) dated in April of 2018. The previous CSR was completed more than 6 months prior.

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: At the time of inspection, the emergency contact information on file for child 2 did not include 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: At the time of inspection, the emergency contact information on file for child 2 did not include the enrolling parent's work address, or the work telephone number.

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

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 1 did not include the health insurance policy number.

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

Noncompliance Area: At the time of inspection, emergency contact information for children 4 and 5 was not present in the child care space in which they were receiving care. The emergency contact information present in the child care spaces throughout the facility had not been updated last time it was updated in the master file.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: At the time of inspection, the most recent health assessments on file for child 1 were dated 7/2016 and 8/2018. The child was an infant when the health assessment came to be past due. The most recent health assessments on file for child 3 were dated 12-20-2016 and 5-30-2018.

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. 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: At the time of inspection, a staff person in the one year old classroom was observed changing a children's diaper. The staff person did not ensure that the child's hands were washed after the diaper change.

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

Noncompliance Area: At the time of inspection, a staff person was observed changing a diaper in the one year old classroom, She did not clean the diaper changing surface after the diaper change.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: At the time of inspection, the record for staff person 2 included a copy of the state's Staff health assessment form, but the three questions had not been answered (not filled out). At the time of inspection, the most recent health assessments on file for both staff persons 9 and 10 had been completed more than 24 months ago, on 8-3-2016. The updated health assessment for staff person 5 obtained after a period of 24 months. The health assessments were dated 2/2016 and 6/2018. The initial health assessment on file for staff person 13 (start date 7-9-19) was not dated within the 12 months prior to initial service, as it was dated 7-18-18.

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: A staff person in the one year old classroom was observed changing a diaper, and then not washing her hands.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: At the time of inspection, the record for staff person #2 included just one written, nonfamily reference. The record for staff person 13 did not include two written, nonfamily references.

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: According to documentation presented at the time of inspection, staff person 2 began employment on 4-23-2018; She had incomplete provisional hire paperwork on file at her start date, as her FBI fingerprint receipt shows she was fingerprinted after her start date, on 4-25-2018. Staff person 11 began employment on 12-18-2017; She had incomplete provisional hire paperwork on file at her start date, as her FBI fingerprint receipt shows she was fingerprinted after her start date, on 12-27-2017.

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: At the time of inspection, the written evaluations on file for staff persons 3-8, and 12 had been completed more than 12 months prior in May of 2017.

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

Noncompliance Area: At the time of inspection, the facility reported a current maximum enrollment of 70-80 children at any given point in time. According to documentation presented at the time of inspection, the facility has only one of the two required group supervisors on staff.

Correction Required: A director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: At the time of inspection, the facility reported that staff person #1 has been serving as an assistant group supervisor (alone with children in the classroom at nap time). She has documentation of a high school diploma, and 1,400 hours of experience on file. The facility reported that staff person 13 has been serving as an assistant group supervisor. She had documentation of a high school diploma on file, but does not have written documentation of 2,500 hours (2 years) of experience on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years 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: Staff person 11 is serving as an aide at the facility. Her record includes documentation of at least and 8th grade education, but does not include written documentation of 2,500 hours (2 years) of experience working with children.

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

Noncompliance Area: On the day of inspection, a mixed age toddler classroom space was observed to be out of ratio on three separate occasions. During the initial inspection of the classroom space, staff person 1 and 6 indicated there was 1 one year old present in the classroom space, and 10 two year olds. Staff person 1 had six children in her primary care group (including the 1 year old), while staff person 2 had 5 two year olds in her group. (CORRECTED ON SITE) During nap-time (children resting/sleeping on mats), a single staff person was alone in the classroom space with 11 children (one 1 year old in the group). At the end of of nap-time, multiple children were observed to be up an off of their mats (naptime ratios no longer permitted). A single staff person was present in the group with 11 children (1 one year old, and 10 two year olds).

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). 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 staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children

Noncompliance Area: At the time of inspection, the first aid kit in the infant child care space did not include tape. The first aid kit in the transitional one year old room did not include tweezers.

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: At the time of inspection, the toilet area in the two year old child care space was not equipped with a clean, lidded waste receptacle. (CORRECTED ON SITE).

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

Noncompliance Area: Child service report for child 1 was last competed in 11/2016. Child service report must be updated.

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: Emergency Contact Information for children 1 and 5 does not include name, address and phone numbers of 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: File for child 9 did not include an initial health assessment and immunizations. Health assessments for children 1 and 6 are more than 1 year old and need to be updated.

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.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: Emergency Contact Information and Financial Agreements for childen 1, 3, 5, 6, 7, and 8 have not been signed as being reviewed or updated in more than 6 months.

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