Susan Wheeler Group Home Day Care

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent Child Service Report for Child #1 was completed timely by the operator but lacked a parent's signature.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The file for Child #1 contained an emergency contact form and a financial agreement that were missing the last two 6-month updates.

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record of Child #1 lacked the following immunizations: one (1) dose of Hepatitis A with no Exemption in file.

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

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The facility records lacked documentation of annual notification sent to local traffic safety authorities.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter training for Staff Person #1 was dated more than 60 months ago (7/5/2020).

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

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the main childcare space, the following areas were observed to have damaged plaster: on the wall behind the white bench and on the wall to the right of the door, under the light switch. In the lower level, the following areas were observed to have damaged plaster: on the wall behind the pack-n-play and on the wall under the painting of the bear and penguin.

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

Regulation: 3280.131(b)(2)

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

Noncompliance Area: The file for child #1 who is a preschool child lacked a health report that was completed 12 months from the current health report. The health reports in the file are dated 4/19/23 and 4/7/25.

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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 1/5/23.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The Emergency Drill log was observed. There were more than 12 months in between the previous emergency drills. The emergency drills were documented on 3/1/23 and 11/14/24.

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

Regulation: 3280.26(c)/3280.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for staff person #1 lacked emergency plan training that was completed in the previous 12 months. The emergency plan training in the file was dated 3/20/24.

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

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff person #1 lacked 12 annual clock hours of child care training from 12/2023 - 12/2024. There were six hours of child care training in the file.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired on (See LIS Code Sheet) as a primary staff person lacked an FBI Clearance that was completed within the past 60 months. The FBI Clearance in the file is dated 2/8/19.

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 child care position at the facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The Fire Drill and Fire Detection Log was observed for the 30-day smoke detector check and the previous smoke detector check was completed on 3/3/25. There were 43 days between the smoke detector checks.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.118(c)

Description: Vet's certificate required

Noncompliance Area: It was observed that a dog at the facility did not have updated rabies immunizations.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3280.131(d)(1)

Description: Child's health history

Noncompliance Area: The file for child #1 lacked a health report that included a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3280.31(e)(4)(i)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff person #2 lacked Pediatric First-Aid and CPR Training that was completed prior to the previous trainings expiration. The Pediatric First-Aid and CPR Training in the file expired 3/2024 and the updated training was dated 4/24/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff person #2 lacked 12 clock hours of child care training. There were 6 training hours documented in the file.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as a primary staff person on (See LIS Code Sheet) lacked State Police and FBI Clearances that were completed 60 months from the previous State Police and FBI Clearances. The State Police Clearances in the file are dated 2/7/19 and 3/5/24. The FBI Clearances in the file are dated 2/8/19 and 3/21/24. The file for staff person #2 who was hired as a primary staff person on (See LIS Code Sheet) lacked a State Police Clearance that was completed within the past 60 months. The State Police Clearance in the file is dated 2/11/19. The file for staff person #2 lacked a valid updated FBI Clearance. The FBI Clearance was a Department of Education Clearance not a Department of Human Services 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. Facility Person #2 may not work in a childcare position at the facility.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The Fire Drill and Fire Detection log was observed there were 61 days between 6/1/23 and 8/1/23.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The Fire Drill and Fire Detection log was observed for the 30 day smoke detector checks. There were 31 days between 5/1/23 and 6/1/23, 31 days between 7/1/23 and 8/1/23, 31 days between 8/1/23 and 9/1/23, 31 days between 10/1/23 and 11/1/23, 31 days between 12/1/23 and 1/1/24, 31 days between 1/1/24 and 2/1/24, 31 days between 3/1/24 and 4/1/24.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #2 lacked emergency contact information that included the home address and home telephone number of the enrolling parent.

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

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child #2 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.131(b)(2)

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

Noncompliance Area: The files for children #1 and #3 lacked child health reports that were completed 12 months from the previous child health reports. For child #1 the child health reports in the file were dated 2/16/22 and 3/30/23. For child #3 the child health reports in the file were dated 2/24/22 and 4/3/23.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff persons #1 and #2 lacked the Pennsylvania Health & Safety Update 2022 that was taken prior to 12/30/22. The trainings in the files were dated 3/8/23 for staff person #1 and 3/10/23 for staff person #2.

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: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 lacked emergency contact information that included the work address and work telephone number of the enrolling parent.

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

Regulation: 3280.124(b)(4)/3280.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child #1 lacked emergency contact information that included the written consent signed by a parent for emergency medical care prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for child #1 lacked emergency contact information that contained signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility lacked a proof of purchase for the interconnected smoke detection system.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Noncompliance Area: The health assessment on file for child #1 did not included a statement from the physician that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: There was no documentation of a current influenza vaccine or Hepatitis A vaccines on file for child #1. There was no documentation of a current influenza vaccine on file for child #2.

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

Noncompliance Area: The mandated reporter training completed by Facility Persons #1 and #2 were each completed more than 60 months prior to the inspection.

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

Noncompliance Area: There was an uncovered outlet on a wall next to a packnplay in the downstairs room on the right.

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

Noncompliance Area: There is mulch (with pieces less than an inch in diameter) under the embedded equipment in the yard/outdoor playspace. According to staff statements, all children in care, including infants and toddlers, receive care in the yard.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: There was a bag of empty plastic bags hanging from the railing running along the steps from the first floor to the basement, where toddlers were receiving care, accessible to children still placing objects in the mouths..

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 were two cots and three packnplays in use in the downstairs child care spaces not labeled with the names of the children using them.

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.

Noncompliance Area: There were two cots and three packnplays in use in the basement child care spaces without at least 2 feet of space on three sides due the placement of the rest equipment and toys and equipment next to the rest equipment.

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

Noncompliance Area: At approximately 12:30 PM, a young school-age child was observed to be in the kitchen with no staff present in the kitchen with him. At approximately 12:40 PM, Facility Person #2 was observed positioned at the bottom of the steps in the basement, between the two downstairs child care spaces. There were 2 young toddlers and a preschooler in the room to the right of the stairs, and a young toddler and an older toddler in the room to the left of the stairs. There were no other staff persons in either of the child care spaces to supervise the children in the spaces. At approximately 1:30 PM Facility Person #2 was observed supervising 3 young toddlers, an older toddler, and a preschooler in the downstairs room on the right. The children were resting in cots and on packnplays. There was insufficient lighting in the room to see the children.

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.

Noncompliance Area: There were sharp knives in the kitchen in reach of children in care - on the back of the counter in a knife block and in an unlocked drawer.

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

Noncompliance Area: At approximately 12:30 PM, a young school-age child was observed to be in the kitchen with no staff present in the kitchen with him.

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: At approximately 12:30 PM, Facility Person #1 was supervising an infant, an older toddler, a preschooler, 2 young schoolagers and an older schoolager in the front room.At approximately 12:40 PM, Facility Person #2 was observed positioned at the bottom of the steps in the basement, between the two downstairs child care spaces. There were 2 young toddlers and a preschooler in the room to the right of the stairs, and a young toddler and an older toddler in the room to the left of the stairs. There were no other staff persons in either of the child care spaces to supervise the children in the spaces.

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 at 3280.52(b).

Noncompliance Area: At approximately 12:30 PM, Facility Person #1 was supervising a total of 6 children (an infant, an older toddler, a preschooler, 2 young schoolagers and an older schoolager) in the front room which has a measured maximum capacity of 5 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: There was an uncovered outlet on the wall near the floor in the living room, adjacent and open to the kitchen where children in care eat meals.

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

Noncompliance Area: There was a small area of damaged plaster on a basement wall, at the bottom of the steps.

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

Noncompliance Area: At approximately 1:30 PM Facility Person #2 was observed supervising 3 young toddlers, an older toddler, and a preschooler in the downstairs room on the right. The children were resting in cots and on packnplays. There was insufficient lighting in the room to see the children.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: There was no documentation of an influenza vaccination from the last 12 months on file for child #1.

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

Noncompliance Area: There was no signed parental consents for emergency medical care or minor first aid administration on file for child #2.

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

Noncompliance Area: In the kitchen where toddlers in care eat meals, there were plastic bags in a low unlocked drawer and a box of trash bags on the floor next to the refrigerator.

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 agreement on file for child #5 did not specify the release persons.

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

Noncompliance Area: The agreements on file for children #1-#5 were the originals.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: There was less than 9 inches of mulch under the embedded play equipment in the back yard.

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: The following items were accessible to children still placing objects in their mouth: small items with a diameter of less than 1 inch in an unlocked bathroom drawer, and empty plastic bags hanging from the handrail leading to the basement child care space.

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 tube of orajel in an unlocked bathroom drawer, accessible to children.

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: The following items were in reach of children: sharp adult scissors on the kitchen counter and in an unlocked kitchen drawer, and a razor on a shelf in the bathroom, in reach of children.

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

Noncompliance Area: There were two uncovered outlets in the kitchen and one in the basement, in reach of children.

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

Noncompliance Area: The following toxics were accessible to children: disinfectant spray in an unlocked upstairs bathroom, a litter box with pet waste on the floor in an open storage area at the top of the steps on the second floor, cleaning supplies in an unlocked storage room next to the basement child care space, deodorant in an unlocked bedroom.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The hot water temperature at the sink in the restroom used by children was measured to be 120 F.

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

Noncompliance Area: There was an exit from the living room/kitchen that was blocked on the inside by a large dollhouse, and on the outside by a large playhouse on the front porch.

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

Noncompliance Area: The child file for child #1 lacked an updated child service report. The last child service report on file is dated 10/10/16.

Correction Required: An agreement shall specify 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 at 3280.124(f).

Noncompliance Area: The child file for child #1, #2, and #3 contained a financial agreement form that lacked the names of the person designated by the parents to whom the child may be released to.

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

Noncompliance Area: The child file for child #3 contained an emergency contact information form that lacked the health insurance name and policy number.

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

Noncompliance Area: The child file for child #3 contained an emergency contact information form that lacked the address of one of the designated release persons.

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

Noncompliance Area: The upstairs front room and the downstairs room lacked a copy of the emergency contact information forms of all the children enrolled.

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.

Noncompliance Area: The upstairs side room lacked a written plan of identifying the means of transporting a child in need of emergency care.

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.

Noncompliance Area: The facility lacked written notification to local traffic safety authorities of their facility and their use of pedestrian and vehicular routes around the facility.

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: The child file for child #3 contained an emergency contact information form that lacked signed parental consent for emergency medical care.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The child file for child #3 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: The staff file for staff person #1 and #2 lacked proof of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: The upstairs side room lacked a posting for fire evacuation routes.

Correction Required: Evacuation routes shall be posted.