Steps To Success

Noncompliance Area: An inhaler without a prescription box or prescription label was observed in the school age classroom.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. 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: During the annual inspection on 08/07/19, hot water temperature in the school age bathrooms was 116 F. DHS representative returned to the facility to monitor compliance on 09/06/19 and the water temperature in the girls bathroom was 116 F and the boys school age bathroom was 117 F.

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

Noncompliance Area: The original agreements were on file for children #1-7.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The emergency contact information for child #5 does not include the work address and telephone number of the mother.

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

Noncompliance Area: Emergency contact information for children # 2,3,4,and 7 does not include the addresses of the individuals designated by the parent to whom the child may be released. The phone number for child #7's release person is not on file.

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 emergency contact information and financial agreement for child #7 has not been updated in the last six months.

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

Noncompliance Area: Written notification of safe routes was not posted at a conspicuous location in the child care facility. Corrected during inspection.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Child #6 does not have a current health assessment on file. The last health assessment was conducted on 11/02/17.

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

Noncompliance Area: Staff person #1 does not have documentation of a current health assessment on file.

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

Noncompliance Area: Facility person #3 does not have documentation of two written, nonfamily references from individuals attesting to the person's suitability to work with children.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Staff person #4 does not have documentation that she was trained on the emergency plan at the time of initial employment.

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

Noncompliance Area: The emergency plan was not posted conspicuously at the facility. Corrected during inspection.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff person #2 has an FBI clearance on file dated 07/25/14. The clearance has not been updated in the last 60 months as required by the CPSL.

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 #2 may not work in a child care position at the facility.

Noncompliance Area: Hot water temperature in the school age bathrooms is 116 F.

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

Noncompliance Area: Two missing spindles and seven broken spindles were observed on the outdoor fencing in the older children's playground. Green surface dirt/pollen was observed on the fencing around the older children's playground.

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: According to the facility's fire drill log fire drills were not held between 03/08/19-05/17/19 (70 days) and 05/17/10-07/31/19 (75 days)

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. 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.

Noncompliance Area: Torn diaper changing mats were observed in the butterflies and infant rooms. (Corrected during inspection)

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: The outdoor embedded equipment is mounted over tire mulch. It is not mounted over the six inches as required by the CPSC.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: An inhaler without a prescription box or label was observed in the older SACC room.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. 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: According to the child's medication log, an expired inhaler was administered to a child in the butterflies room. (Removed during inspection)

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Staff person #5 does not have documentation of a current health assessment on file.

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.

Noncompliance Area: The legal entity did not have documentation of current liability insurance on file. (Corrected during inspection)

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: Staff person #2 did not have documentation of annual emergency plan training on file.

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

Noncompliance Area: Staff persons #1, 4 have volunteer state police clearances on file. Volunteer clearances are not permitted for employment purposes. Staff person #3 has an FBI clearance on file that is more than 60 months old. The clearance is dated 09/28/12.

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, FBI 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 #-1,3,4 may not work in a child care position at the facility.

Noncompliance Area: White out labeled as keep out of reach of children was accessible to the children in the young school age room. (Moved during inspection)

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

Noncompliance Area: The fencing around the outdoor play space had a visible layer of surface dirt.

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: Damaged plaster was observed on the wall near the trash can in the butterflies room. (Corrected during inspection).

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

Noncompliance Area: An inhaler was observed in the infant room without any prescription box or label.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. 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: An unlabeled spray bottle containing cleaning material was observed in the infant room. CORRECTED DURING INSPECGTION.

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 first aid kit in the Pre K room was accessible to children. MOVED DURING INSPECTION.

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

Noncompliance Area: The changing table in the butterflies room was unsturdy. REMOVED DURING INSPECTION.

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

Noncompliance Area: Medication in the SACC classroom was stored in a cabinet with a broken child safety lock. CORRECTED DURING INSPECTION.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Staff #1,4,7,8 do not have documentation of a current health assessment on file. The health assessment for staff person #2 was submitted almost four months after she began employment.

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.

Noncompliance Area: The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program`s use of pedestrian and vehicular routes around the day care facility. CORRECTED DURING INSPECTION.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program`s use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: Children #1,2 do not have a current health assessment on file.

Correction Required: A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: Staff person #7 does not have documentation of child care experience, education and training prior to service at the facility.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person #7 only has one reference on file attesting to her suitability to work with children.

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: Staff persons #2,7 were not trained on the emergency plan at time of initial employement. Staff person #5 does not have documentation that she received annual training on the emergency plan.

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

Noncompliance Area: Staff persons #3 has a child abuse and FBI clearance on file that is more than 60 months old. The FBI clearance for staff #6 is more than 60 months old. The child abuse clearance for staff #9 is a volunteer clearance. Volunteer clearances are not acceptable for employment purposes. Staff person #10 did not complete mandated reporter training within the required 90 day window as mandated under the CPSL.

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 #3,6,9 may not work in a child care position at the facility.

Noncompliance Area: Three unlabeled spray bottles containing cleaning solutions were observed throughout the facility. CORRECTED DURING INSPECTION.

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 boys bathroom did not have a handwashing sign. CORRECTED DURING INSPECTION.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: On 6/15/17, adult scissors were accessible to children in the infant room. Child #1, a young toddler in staff person #1's primary care group, attempted to grab the scissors from another child and lacerated her finger. The injury required an ER visit.

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