Sonshine Quality Child Care

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were a broken toy bread and several foam blocks with deep teeth marks in the pre-k room. The sand box in the middle room had 3 lose screws. There was a cracked white basket, and a baby booster seat without straps in the infant 2 room. There was a garbage can with a broken pedal in the infant 1 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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a small screw about a 1 inch in diameter in the play kitchen set sink in the pre-room. Base on CR observation there are children who place objects in their mount in this room.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for child #1lacked the arrival and departure times on the agreement form.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 2 a preschooler contained a current initial health report dated 7/11/25, that was provided after the child was in care longer than 60 days.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff #2 kept a soiled diaper on the changing table until the staff was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #1 lacked one 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.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility emergency plan was not reviewed. The last review is dated 4.30.25.

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was one uncovered electrical outlet accessible to children 5 years of age or younger in the pre-k room. There was one uncovered electrical outlet accessible to children 5 years of age or younger in the YT room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a Moisturizing Lotion, on top of a shelf in the pre-k room label " Keep out of reach of children" 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked bin in room 5, the preschool eating room. There was a cracked toy highchair in room #6 the back pre-k room. There was a cracked basket in room #4 the infant room. there was a cracked bin in room # 11 the OT 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.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child #2 lacked the date of the child's date of admission on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked an annual emergency drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 4 cracked bins in the preschool room and a puppet stand with a missing screw making the stand wobbly. A cracked clear bin was in the science area in the preschool room. There was a cracked bin in the young toddler room by the kitchen. There was a crawl-and-climb caterpillar toy cracked on the pick section and a marble Gare toy with a broken edge in the playground.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator temperature in the eating room was 49 degrees. The refrigerate temperature in the young toddler room was 50 degrees.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child # 1 a young toddler contained a current health report dated 5/1/24 that was obtained after 6 months from the previous report dated 9/5/23.

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.

Regulation: 3270.161(c)

Description: Food served discarded

Noncompliance Area: There was a bottle with milk on top of the counter. The milk was not discarded.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a 1/2 gallon of milk on top of the counter in the young toddler room.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The Certificate of Compliance posted in a conspicuous location used by parents was dated 8/31/22 to 8/31/23.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff # 1 Contained a current Pediatric First Aid and Pediatric CPR training dated 10/9/23. The previous certificate is dated 8/10/21.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff # 2 contained a current fire safety training certificate dated 3/8/24. The training pass one year. The previous certificate was dated 1/24/23.

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.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: There was a window without an adapted to limit the opening to 6 or fewer inches in the second-floor bathroom in the preschool room.

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.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The young toddler room by the kitchen lacked a first aid kit.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The bottom of the door in the infant room was rusted and corroded.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were two damaged cubbies with chipped areas and exposed splinters in the lunchroom. The garbage can in the lunchroom had a damaged foot pedal with an exposed metal bar, in the lunchroom and one in the YT room. There was a manipulative toy base with 3 chipped corners in the YT room. There was a cracked plastic paper holder in the toddler two room and one in the Pre - K room. There was a cracked clear bin in the Pre -K. There was a ripped red sofa with exposed foam in the Pre -k back room. The plastic cover around a cube toy was ripped off in the infant room. There was a blue plastic lid with a cracked corner in the infant room. There was a cracked highchair tray in the in the infant room. There was a Lego box lid with a cracked corner in the toddler two room. There was a playhouse with exposed screws in the playground.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the kitchen refrigerator was not operable. The lock on the toddler two room refrigerator was damage exposing a sharp wired accessible to children.

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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 2 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child # 1 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 2 contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 9/6/22 and the health report was dated 3/28/23. The file for child # 3 contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 8/6/21 and the health report was dated 11/1/21. The file for child # 4 contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 10/17/22 and the health report was dated 2/7/23.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff # 1 lacked 4 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22. The file for staff # 3 lacked 3 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a current Child Abuse clearance dated 4/17/20, that was not renewed within 60 months of the prior Child Abuse clearance dated 4/14/15. The file for staff #2 contained a current FBI clearance dated 5/26/22, that was not renewed within 60 months of the prior FBI clearance dated 5/21/17.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered outlet in the toddler two room accessible to children 5 years of age or younger.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was chipped wood at the bottom of the wall border in the Pre -K middle room close to the sand box. There was chipped wood at the bottom of wall border in the YT room by the little toy kitchen. There was base board pulling off of the wall in the Pre-k bathroom. There was a wall tile with a chipped corner on the 2nd floor bathroom. There was a metal heater cover, uncrewed in the toddler 2 room accessible to children. The heater wooden frame in the Pre-k room was not secured to the wall, allowing the heater to be accessible to children. The indoor play space window had a metal insert that had exposed, sharp edges, accessible to children. The carpet at the entry door was damaged, fold up from the borders creating a tripping hazard.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was chipped paint on the yellow wall by the door in the pre-k room. There was chipped paint on the green heater wooden frame.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 12/9/22 to 1/9/23 and 1/9/23 to 2/9/23.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a gray bin lid in the older toddler room that was cracked on the right edge creating sharp 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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a wooden brown shed on the back wall in the lunch room that was cracked with exposing splinters.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for child # 1 lacked date on which the fee is to be paid on the agreement form.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for child # 1 lacked the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child # 1 lacked work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 3 a preschooler contained a health report that was updated after 12 months. The report were dated 2/2/21 & 4/8/22.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility lacked a policy to identify Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #1 contained a current health assessment that was not obtained within 24 months of the previous assessment. Assessments dated 11/26/19 & 1/27/22. The file for staff #3 contained a current health assessment that was not obtained within 24 months of the previous assessment. Assessments dated 2/7/20 & 4/22/22.

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: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The file for staff #2 contained a mandated reporter training certificate that was renewed within 60 months of the previous training. Certificates dated 1/5/15 & 2/12/20.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)(10)/3270.31(g)

Description: Health and Safety Training - Pediatric First Aid and CPR/Professional development certificate

Noncompliance Area: The file for staff # 4 contained a current Pediatric First Aid/CPR certification from an approved curriculum with an instructor that is not a PQAS trainer.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a current FBI clearance and State police clearance that were not renewed within 60 months of the previous clearance. The FBI clearance dates are 7/25/12 and 2/12/18. The State police clearance dates are 2/16/15 and 7/13/20. The file for staff # 2 contained a current FBI clearance a State Police clearance and Child Abuse clearance that were not renewed within 60 months of the previous clearance. The FBI clearance dates are 10/17/14-7/12/20. The State Police clearance dates are 10/7/14-7/8/20.The Child Abuse clearance dates are 10/23/14-7/10/20.

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..

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the infant room lacked bandages and the first-aid kit in the toddler one room lacked gauzes and bandages.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a cracked floor tile on the entry of the young toddler room. There was a foam mat tile with two holes in the indoor play space. The wire net covering the window in the Pavilion had a hole that created sharp edges around the opening.

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: The last two health reports in the file for child #1 and #2 were dated more than 6 months apart, while the children were young toddlers.

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

Noncompliance Area: The last two health assessments in the file for staff person # 2 and #3 were dated more than 24 months apart.

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: The last two fire safety trainings in the file for staff person #1 through #5 were dated more than 12 months apart.

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: The last two Mandated Reporter trainings in the file for staff person #1 and #2 were dated more than 60 months apart. The state police, child abuse and FBI clearances in the file for staff person #2 were expired since late 2019 and the individual was not removed from their child care position until 7/9/20.

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: There were a few small areas of chipping paint on the pillars by the back door of the facility, which is where parents and children enter the facility.

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

Noncompliance Area: A bin with a cracked edge which creates a sharp corner was observed in the young toddler room. A ttoy storage basket in the middle pre-K room was cracked, creating a pinch point. A measuring cup and a mixing bowl in the play table were cracked with pieces missing.

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: A child's couch in the young toddler room was torn along the seam, making the foam stuffing accessible to children who are still placing objects in their mouth.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The thermometer in the refrigerator in the older toddler room measured at 60 F. The kitchen refrigerator is missing an operating thermometer.

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: The last health report in the file for child #3, a young toddler, was dated more than 6 months ago.

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

Noncompliance Area: The file for child #1, #2 and #3 did not include evidence of a recent flu shot or written exemption by a parent stating religious or personal objection.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: The last health assessment in the file for staff person #2 was dated more than 24 months ago. The last two health assessments in the file for staff person #3 were dated more than 24 months apart.

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: The last two FBI fingerprint clearances in the file for staff person #1 were dated more than 60 months apart and the individual was not removed from their child care position.

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

Noncompliance Area: Six preschool children were observed receiving care in the front preschool room, which has a capacity of five children.

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

Noncompliance Area: A bottle of toilet cleaner labeled 'keep out of the reach of children' was observed on the toilet tank in the preschool classroom, making it accessible to the children in care in the 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: A broken electrical face plate and a broken junction face plate was observed in the upstairs lunch room. A few water-damaged ceiling tiles were observed in the back pre-K classroom. The hinge on the upstairs bathroom door was observed to be dislodged from the door.

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

Noncompliance Area: Peeling paint was observed on the left window sill in the pre-K classroom. Chipping paint was observed on the left lower door frame in the threshold of the young toddler room.

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

Noncompliance Area: The last two health assessments in the file for staff person #1 were dated more than 24 months apart.

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: At approximately 8:40 am in school-age room, staff person #1 and #2 were present with 11 children, a combined group of 4 school-agers, 6 preschoolers and one older toddler. Staff person #1 identified the 4 older school-agers and staff person #2, who was on her first day of working in a classroom at the facility, could not identify any of the children.

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.

Noncompliance Area: At approximately 8:45 am in the school-age room, staff person #1 and #2 were present with 11 children, a combined group of 4 school-agers, 6 preschoolers and one older toddler. A few minutes later, staff person #2 left the room to take a child to the bathroom. The file for staff person #2, who was hired provisionally, did not include a copy of the request for their child abuse clearance or the results of their FBI clearance .

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 approximately 8:45 am in the school-age room, staff person #1 and #2 were present with 11 children, a combined group of 4 school-agers, 6 preschoolers and one older toddler. A few minutes later, staff person #2 left the room to take a child to the bathroom. Upon review of the staff person's file, it only included verification of a high school diploma, qualifying them as an aide.

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: At approximately 8:45 am in the school-age room, staff person #1 and #2 were present with 11 children, a combined group of 4 school-agers, 6 preschoolers and one older toddler. Staff person #2 was about to take a child to the bathroom outside of the classroom, which would leave staff person #1 with 10 children. The certification representative asked staff person #1 to confirm the ages of the children in the room and they stated that the children were all preschoolers and school-agers. After staff person #2 left the room to take a child to the bathroom, staff person #1 stated that one of the 10 children in the room was only 2 years old, placing the staff person out of ratio with 4 school-agers, 5 preschoolers and one older toddler.

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).

Noncompliance Area: There was a tear in the small yellow couch in the toddler activity room, exposing the foam inside and creating a choking hazard.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: There was a tear in the small yellow couch in the toddler activity room, exposing the foam inside and creating a choking hazard.

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

Noncompliance Area: The emergency contact information in the file for child #1 did not include an address for the child's physician.

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

Noncompliance Area: The emergency contact form in the file for child #2 did not include an address for the individual designated by a 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: The initial health report in the file for child #2 was dated more than 60 days after the child's first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: Two of the health reports in the file for child #3, a young toddler, were dated more than 6 months apart.

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

Noncompliance Area: There were two unlabeled bottles of children's cough medicine in the young toddler room.

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

Noncompliance Area: There was no written parental consent for administration of a tube of A&D diaper cream in the younger toddler room.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The can being used for disposing of diapers in the infant 2 room was not hands-free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The last two health assessments in the file for staff person #4 and #5 were dated more than 24 months apart.

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: The certificate of compliance posted at the facility was for 2016-17.

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

Noncompliance Area: The file for staff person #3 and #4, both previous employees of the facility, did not include a disclosure statement signed when they were re-hired. The state police clearance in the file for staff person #5, hired in 2015, included a volunteer state police clearance. The only FBI fingerprinting clearance in the file for staff person #7, employed since 1993, was dated after 12/31/15. Based on the changes to the CPSL on 7/1/15, the FBI clearance should have been dated by 12/31/15.

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: The work verification form in the file for staff person #1, holding the title of assistant group supervisor, listed 3 years experience at a child care facility that has not been open for 3 years. Based on conversation that the operator had with staff #1, the staff person admitted that they had changed the dates on the form.

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: Several cans of toxic cleaning products were being stored next to two containers of cereal in a cabinet in the toddler 2 room.

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.

Noncompliance Area: The window in the back preschool bathroom, which opens directly to the outside and is accessible to children, was jammed and unable to close, allowing it to 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: In the two-year old room, there was a wooden file cabinet with a low drawer front that easily detached when pulled. There was also a tear in the vinyl blue chair in the two-year old room, exposing the foam inside to children who are still placing objects in their mouth and pom-poms on a low shelf in the craft area that were less than an inch in diameter and accessible to children who are still placing iobjects in their mouth.

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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The emergency contact information in the file for child #1, #2 and #4 did not include the address of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: The health report in the file for child #2 and #3 was dated beyond 60 days following the child's first day of attendance at the facility. The health report in the file for child #4 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The health report in the file for child #4 did not include a review of the child`s immunized status according to recommendations of the ACIP or 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.

Correction Required: A health report shall include a review of the child`s immunized status according to recommendations of the ACIP.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: The can in which diapers are discarded in the infant room 2 was not a hands-free can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The last two health assessments for staff person #4 and #7, both providing direct care and coming into contact with children, are dated more than 24 months apart. The file for staff person #5 didnot include a valid TB screening by the mantoux method at initial employment, as the date of the screening was not documented.

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 file for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a staff 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: The file for staff person #2, hired 6/8/16, and staff person #8, hired 7/25/16, did not include evidence of a signed disclosure statement at initial hire. The file for staff person #2, hired 6/8/16, and staff person #9, hired 6/17/16, included mandated reporter training dated beyond the staff person's 90-day provisional period. The FBI clearance in the file for staff person #3, hired 2/9/16, and staff person #4, hired 10/30/14, was not complete, as the last page was missing from the rap sheet.

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: The file for staff person #1, hired 12/19/16, and #6, hired 5/15/17, both holding the title of aide, did not include verification of an 8th grade education. The file for staff person #1 also did not include verification of 2500 hours of child care experience.

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: The first-aid kit in the young toddlers activity room did not contain gloves. The first-aid kit in the 2 year old room did not contain scissors.

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

Noncompliance Area: At approximately 2:32 pm, an 8 month old infant was observed sleeping in a bouncy seat for several minutes, until the facility director entered the room and immediately picked up the child to place them in a crib.

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.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: The exit at the back of the facility was blocked by several baby strollers. Both exits from the older toddler room were obstructed; one exit was blocked by several children's cots and the other exit was blocked by a toy cabinet.

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