Start Smart Child Care Center

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 3/3/26 the file reviewed for child #1, child #2, child #3, child #4, and child #5 did not include child service report providing information to the family about the child's growth and development.

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).

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 3/3/26 the emergency contact form reviewed for child #4 did not include the child's health insurance coverage or policy number.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 3/3/26 the file reviewed for child #2, child #3 and child #4 contained fee agreement and emergency contact forms that were not reviewed/updated within 6 months period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection on 3/3/26 the file reviewed for child #1, child #2, and child #4 contained a health report that was more than 12 months old.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 3/3/26 provider was unable to provide documentation of annual emergency drill.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 3/3/26 the file reviewed for staff person #1 and staff person #2 did not include annual emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Age and Training

Noncompliance Area: During the renewal inspection on 3/3/26 the first aid/cpr certificate reviewed for staff person #1 was not reviewed before the expiration of most current certification.

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: During the renewal inspection on 3/3/26 the file reviewed for staff person #1 contained fire safety training dated 1/8/24 which was not updated annually.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection 3/3/26 the file reviewed for staff person #1 hired (see code sheet) included a NSOR certificate dated 11/19/2019 which is more than 60 months old. No receipt was on file.

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. Facility Person #1 may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection on 3/3/26 the file reviewed for staff person #1 and staff person #2 did not include an annual written evaluation.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the renewal inspection on 3/3/26 staff person #1 was observed caring for (5) infants alone.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 3/3/26 hand sanitizer was observed sitting on the sink in children's bathroom.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 3/3/26 the ceiling tiles in the indoor play space showed signs of possible leak.

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: During the renewal inspection on 3/3/26 chipping paint and damaged trim was observed in the younger and older toddler classrooms.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 03/11/25 the file reviewed for child #1 and child #2 did not include a child service report.

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).

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 03/11/25 the file reviewed for staff person #1 and staff person #2 did not include updated health assessment.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 03/11/25 the fee agreement reviewed for child #1 and child #2 were not updated/reviewed within 6-month period.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 03/11/25 air freshener was observed in the bathroom 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: 3270.62(d)

Description: No simultaneous use

Noncompliance Area: During the allocated unannounced monitoring on 9/11/24 the indoor play space was observed being used for storage.

Correction Required: Outdoor or indoor play space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the childcare being offered.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the allocated unannounced monitoring on 9/11/24 there were missing outlet covers observed in the indoor play space.

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: During the allocated unannounced monitoring on 9/11/24 toxins were observed in the bathroom 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: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 03/19/24 the thermometer located in the refrigerator was not operable.

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)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 03/19/24 the emergency contact form reviewed for child #1, child #5 and child #6 did not include health coverage information or policy number. The emergency contact form reviewed for child #4 did not include policy number.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 03/19/24 the emergency contact forms for child #1, child #2, child #3, child #4, child #5 and child #6 were not reviewed/signed within 6-month time period. The fee agreement for child #1 was not reviewed/signed within 6-month time period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 03/19/24 the file reviewed for staff member #1 did not contain an initial adult health assessment. The file reviewed for staff member #2 did not contain an updated health assessment. Health assessment was dated 06/03/21.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 03/19/24 the emergency drill documentation provided was dated 07/01/22.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 03/19/24 the file reviewed for staff person #3 did not include documentation of emergency plan training at time of initial hire.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Age and Training

Noncompliance Area: During the renewal inspection on 03/19/24 the file reviewed for staff person #4 contained an expired first aid and CPR certification. Certification reviewed was dated 03/08/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 03/19/24 the file reviewed for staff person #1 did not contain a completed child abuse, PSP criminal history clearance, NSOR certificate, DHS FBI clearance or a signed disclosure statement on file. The file does not contain copies of request(s) for the clearances/verification. Furthermore, staff person #1 was observed in infant/toddler room working alone with (4) children and was not in the vicinity of a permanent employee. The file reviewed for staff person #2 did not contain an updated PSP criminal clearance or updated PA child abuse clearance. PSP criminal clearance was dated 06/24/19 and PA child abuse clearance was dated 03/20/19 which is more than 60 months old.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the renewal inspection on 03/19/24 CR observed (18) children being supervised by (2) staff members. Youngest child was 6 months old requiring staff: child ratio of 1:4.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 03/19/24 missing receptacle covers were observed in the infant/toddler room.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection on 03/19/24 the hot water temperature in the bathroom #1 and bathroom #2 exceeded 110 degrees. Hot water temperature was 120 degrees via digital and analog thermometer.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the renewal inspection on 03/19/24 there was no first aid kit present in the indoor play space.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 03/19/24 the first aid kit located in the infant/toddler room was missing scissors. The first aid kit located in the Two's room was missing soap.

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: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: An infant (#1) was observed sleeping in the crib with a padding/pillow and toys.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Remove the padding/pillow and toys. Notify all facility staff persons that toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Submit written verification of staff notification.

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

Description: Fire safety - 1 yr.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training. (#2)

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Obtain and submit written verification of annual fire safety training for the identified staff persons.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: One staff person's record did not contain written verification of required health and safety training completed within 90 days of employment. (#3)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Obtain and submit written verification of the required health and safety training for the identified staff persons.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents. (#1- hired 1/4/23- no proof of request for STATE POLICE prior to working with children and no completed STATE POLICE clearance as it states "

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 cannot work in a childcare position at the facility until the STATE POLICE clearance has been completed. Submit a copy of the completed STATE POLICE clearance for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff/facility persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The agreement form used by the facility did not have a provision to include services to be provided to the family and child. (#1, #2, #3, #4 and #5)

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). Submit updated agreements that contain this information for the identified children. Ensure that the agreement includes services to be provided to the family and the child.

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#1, #2, #3, #4 and #5)

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreements.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Two children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2 and #5)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff/prior to admission.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents for the identified child as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Plastic phone wiring and air conditioning hoses were accessible to children in the rear outdoor play space. The play area was in the rear of the back driveway which presented and unsafe condition.

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. Install fencing or a protective barrier to restrict children from the plastic phone wiring and air conditioning hoses and also to prevent cars from entering the play area. Develop and submit a written protocol regarding the safety of children when using the rear play area.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#1- hired 1/7/19- no completed NSOR)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility until the completed CPSL document has been completed and submitted. Submit a copy of the required , completed CPSL clearance documents for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Noncompliance Area: Several staff person's record did not contain written verification experience for their assistant group supervisor position. Obtain and submit written verification of education and experience for the identified staff persons. Ensure that all staff records have written verification of education and experience for their positions.(#1, #2, #3 and #4)

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: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's record did not contain the required CPSL hiring documents. ); (#1-hired 1/27/20-no signed DISCLOSURE STATEMENT, no completed NSOR) (#2- hired 10/28/19- no completed NSOR) . Provider has no provisional hiring waiver.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility until the completed CPSL documents have been completed and submitted as specified. Submit a copy of the completed CPSL clearance documents for the identified staff persons. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances

Noncompliance Area: On 2/3/20, at approximately 1:30pm, one staff person was observed caring for a mixed-age group of 6 infants/young toddlers (infants-birth to 1 year of age) (young toddlers-1 to 2 years of age) in the infant child care space. Staff person verified the ages of the children in care.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff to receive at least 2 hours of DHS approved ratio training /to include mixed-age groupings. Submit written verification of the completed training for all facility staff.

Noncompliance Area: The rear exit was obstructed by boxes and child care equipment.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the items and ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit remain unobstructed. Notify staff of this requirement and submit written verification of staff notification

Noncompliance Area: On 6/12/19, six children (older toddlers- 2 years; preschoolers-age 3 years to first day of kindergarten and young school age- kindergarten to date enter 4th grade) were left alone and unattended with no staff supervision in the facility for a period of time when staff person left the facility to empty the trash.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff persons to receive at least 2 hours of DHS approved training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. Submit written verification of the completed training for all facility staff persons.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's records did not contain the required CPSL hiring documents. (#1-volunteer started 6/19/19- no signed DISCLOSURE STATEMENT, no proof of request for STATE POLICE prior to working with children (#2-volunteer started 6/19/19- no signed DISCLOSURE STATEMENT, no proof of requests for STATE POLICE prior to working with children; no proof of FBI fingerprinting prior to working with children. CONTINUING NON-COMPLIANCE

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility until the required clearances have been obtained. CPSL documents have been obtained and submitted as specified. Submit a copy of the completed CPSL clearance documents for the identified staff persons. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL.

Noncompliance Area: On 6/12/19, there were six children ages older toddlers (2 years) to school age (6 years) and only one staff present. (staff #1)

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Revise staffing schedules to ensure that there is always at least two facility persons shall be present in the facility when two or more children are in care. Submit written of the revised staffing schedules.

Noncompliance Area: A child was observed resting in a crib in the infant area and there was not at least 2 feet of space on three sides 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. Ensure that there is 2 feet of space on three sides of resting equipment when in use. Notify all staff of this requirement and submit written notification that includes the signature of each staff person.

Noncompliance Area: The refrigerator lacked an operable 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. Obtain an operable thermometer and place it in the refrigerator.

Noncompliance Area: Four children's records did not contain a signed agreement in accordance with this regulation. (#2, #3, #4 and #5)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a signed agreement for the indicated child that includes both the operator and parent's signature as specified. Ensure that the parent receives the original and that a copy is retained by the facility.

Noncompliance Area: Two children's emergency contact information did not include the name, address and telephone number of the child`s physician or source of medical care. (#2 and #3)

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Obtain and submit a written copy of the missing physician or source of medical information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: Two children's emergency contact information did not include health insurance coverage and policy number information. (#2 and #3)

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Obtain and submit a written copy of the missing health insurance information for the identified children. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: One child's emergency contact information did not include the complete contact information name, address and telephone number of the individual designated by the parent to whom the child may be released. (#1)

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. Obtain and submit a written copy of this missing contact information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: Children were observed being cared for in the toddler child care space and their emergency contact information was not present in the same space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. . Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in each child care space.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Post the plan in each classroom and ensure that it is posted in each child care space and that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: Two children have been enrolled for more than 60 days and their records did not contain a current, up-to-date health report. (#1 and #5)

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. Obtain and submit a current up-to-date health report for the indicated children Ensure that all children's records include a current, up-to-date health report within 60 days of enrollment.

Noncompliance Area: Several staff person's records did not contain a health assessment completed within 12 months prior to the date of hire including negative TB skin testing. (#1, #2 and #3)

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.Obtain and submit a current up-to-date health assessment for the identified staff persons including negative TB skin testing. Ensure that health assessments contain the required information and are completed within the required timeframes.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#5)

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

Noncompliance Area: An infant bottle observed in the infant child care space was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name. Label the bottle with the child's name and ensure that all children's bottles are properly labeled.

Noncompliance Area: Two facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1 and #2)

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's records did not contain the required CPSL hiring documents. (#1-hired 5/29/19-no proof of FBI clearance completed under DHS --only PDE which is not acceptable) (#4 hired 2/4/19-no proof of request for CHILD ABUSE prior to working with children-not in file)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #4 may not work in a child care position at the facility until the required CPSL documents have been obtained and submitted as specified. Submit a copy of the required CPSL clearance documents for the identified staff persons. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL.

Noncompliance Area: Two staff person's records did not contain written verification of education and experience for their aide position.(#1 and #2)

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and experience for the identified staff persons.

Noncompliance Area: The toilet use by children was clogged and in disrepair.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. Make necessary repairs and ensure that the toilet areas remain clean and in good repair

Noncompliance Area: Fire drill records did not include all of the required contents; it only included the date and time of drill.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Revise the fire drill records to include all of the required information. Submit a copy of the revised fire drill record and a copy of completed fire drills that contains the names of the participating facility persons.

Noncompliance Area: One staff person's records did not contain a health assessment completed within 12 months prior to the date of hire. (#1)

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

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.. (#1)

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. . Revise and submit a copy of the facility emergency plan to include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: A can of air freshener was observed on the bathroom sink in the bathroom used by children in reach of children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Remove the can of air freshener and ensure that all toxic and cleaning materials are kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: Windows above the ground floor that open directly to the outdoors and that were accessible to children were not modified to limit the opening to 6 or fewer 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.Make necessary modifications to limit the opening to 6 or fewer inches.

Noncompliance Area: Three cubbies in the main child care space were not secured and presented a potential 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. Secure all cubbies throughout the facility to ensure that they do not present a safety hazard to the children in care.