Tender Care Learning Center/mccandless

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Young Teddy Bear Room was observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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.

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: The staff file for Staff person #3 contained a current health assessment dated 11/24/25 that lacked a physical examination.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The staff file for Staff person #3 contained a current health assessment dated 11/24/25 that lacked examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The staff file for Staff person #3 contained a current health assessment dated 11/24/25 that lacked the physician's or CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide childcare.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The staff file for Staff person #3 lacked 12 clock hours of annual childcare training required from December 2024 - December 2025.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #2 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 6/19/26 and 4/29/25. The staff file for Staff person #4 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 6/9/25 and 5/2/25. The staff file for Staff person #5 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 6/8/26 and 5/2/25.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; Staff person #4 has since completed the training on 8/2/25.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #1 contained current mandated reporter training dated 8/29/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 8/21/20.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 3/10/26 to 4/10/26 (31 days).

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was observed to not be posted in a conspicuous location.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents explaining the emergency procedures does not address annual emergency drills, lockdown, or accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #1 was observed to lack documentation of fire safety training for 2024 the two most recent fire safety trainings on file are dated 2/5/23 and 5/2/25. The staff file for Staff person #2 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 5/8/24 and 6/4/25.

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: The staff file for Staff person #1 contained a current State Police clearance dated 1/8/25 which was not renewed within 60 months of the previously dated 12/31/19 State Police clearance expiring. The staff file for Staff person #2 contained a current National Sex Offender Registry (NSOR) check dated 6/26/25 which was not renewed within 60 months of the previously dated 6/8/20 NSOR check expiring.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Starbright Room, two ceiling tiles were observed to not be kept clean as evidence by having water damage spots from an unknown water source. In the Stairway off of the PreK Room, 7 ceiling tiles were observed to not be kept clean as evidence by having water damage spots from an unknown water source.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The following toilets were observed to lack a handwashing sign: three toilets in the restroom located to the left of the office, two toilets in the restroom between the Toddler Room and Young Teddy Bear Room, and the toilet in restroom in the PreK Room.

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.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The following toileting areas and/or sinks were observed to lack a lidded waste receptacle: the toilet area to the left of the office, the toileting area between the Toddler Room and Young Teddy Bear Room, the sink area of the Young Teddy Bear Room, the toilet area and sink area in the PreK Room, and the sink area of the Starbright Room and the Older Teddy Bear Room.

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

Noncompliance Area: The file for child #4 and child #9 had an agreement that lacked the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The file for child #5, with a start date of 8-22-19, lacked an initial health assessment within 60 days of their start date and requires a current health assessment.

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

Noncompliance Area: The file for child #1, a young toddler, lacked a current health assessment updated within the last 6 months. The file for child #8, a young toddler, had a health assessment that exceeded 6 months between assessments.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The file for child #6, an older toddler, lacked a current health assessment updated within the last 12 months. The file for child #7, an older toddler, and child #9, a preschooler, had a health assessment that exceeded 12 months between assessments.

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.

Noncompliance Area: The file for child #2 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: The file for child #5, with a start date of 8-22-19, lacked verification of an immunization record within 60 days of their start date and requires a current immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: The file for child #1, an 18 month old, and child #6, a 2 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last year in accordance with the schedule recommended by the ACIP. The file for child #1, an 18 month old, had an immunization record that lacked documentation of the 4th dose of the Pneumococcal vaccination by age 15 months and the 1st doses of the MMR and Varicella vaccinations by age 15 months in accordance with the schedule recommended by the ACIP.

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: In the preschool room, there was Children's Ibuprofen for child #10 that was expired.

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

Noncompliance Area: In the preschool room, there was Children's Ibuprofen for child #10 that lacked written parental consent for administration of the medication.

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

Noncompliance Area: In the infant room, the diapering can in the cabinet under the changing table lacked a lid and was not a hands-free can.

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

Noncompliance Area: The file for staff person #5 had a health assessment that exceeded 24 months between assessments.

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

Noncompliance Area: The file for staff person #3, with a start date of 1-14-19, had a health assessment that lacked a tuberculosis screening by the Mantoux method at initial employment and requires a current tuberculosis screening by the Mantoux method.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The file for child #3, child #4, child #6, child #7, child #8, and child #9 had an emergency contact form that exceeded 6 months between updates.

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.

Noncompliance Area: The file for child #5 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Noncompliance Area: The file for staff person #6 lacked two written, nonfamily references.

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

Noncompliance Area: The file for staff person #1 and staff person #4 had emergency plan training that was completed after their start date.

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 most recent update to the emergency plan in October of 2019 was not sent to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: The file for staff person #2 and staff person #5 had fire safety training that exceeded a year between trainings.

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

Noncompliance Area: The file for staff person #4, with a start date of 8-19-19, lacked an FBI clearance. The file for staff person #6, hired provisionally with a start date of 11-4-19, had proof of fingerprinting for the FBI clearance dated 11-6-19 that was after their start date.

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. Staff Person #4 and Staff Person #6 may not work in a child care position at the facility.

Noncompliance Area: The downstairs kitchen/eating area between the toddler 1 room and the infant room was being used daily for art activities as child care space and was not measured as child care space.

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: In the downstairs kitchen/eating area between the toddler 1 room and the infant room, the water temperature at the sink was 113.5 degrees.

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

Noncompliance Area: In the kitchen/eating area between the toddler 1 room and infant room, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: On the outdoor toddler play space, the poured-in-place surface had a large crack near the fence and the tree that was a tripping hazard.

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

Noncompliance Area: According to the fire drill log, a fire drill was not conducted every 60 days between 10-26-18 to 1-2-19.

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.

Noncompliance Area: On 12-28-18 at 12:20 p.m. in the preschool room, staff person #3 had 10 children in her group including 9 preschoolers and 1 school-age child during naptime. The staff person was sitting towards the middle of the room near the outside wall facing the opposite direction of 5 of the children that were laying on their mats behind her with a bookshelf between her and the children, resulting in staff person #3 being unable to see and supervise 5 children in her group.

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: The file for child #6 and child #7 had child service reports that exceeded 6 months between updated reports.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file for child #8 had an agreement that lacked the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The file for child #4 had an emergency contact form that lacked the address of the child's physician.

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

Noncompliance Area: The file for child #3, child #4, and child #5 had an emergency contact form that lacked the health insurance policy number.

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

Noncompliance Area: The file for child #1 had an emergency contact form that lacked the addresses of the individuals designated by the parent to whom the child may be released. The file for child #5 had an emergency contact form that lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released. The file for child #8 had an emergency contact form that lacked the telephone numbers of the individuals designated by the parent to whom the child may be released.

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

Noncompliance Area: The file for child #4 had an initial health assessment dated 10-26-18 that was over 60 days after the child's start date of 11-28-17.

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

Noncompliance Area: The file for child #5, a preschooler, lacked a current health assessment updated within the last 12 months.

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.

Noncompliance Area: The file for child #6 had a health assessment that lacked a statement 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: In the older toddler room, child #9 had an Auvi-Q and Children's Zyrtec that lacked written parental consent for administration of the medication. In the infant room, child #6 had Infant Motrin and Little Remedies Gas Relief Drops, child #10 had Infant Tylenol, child #11 had Infant Tylenol, child #12 had Infant Tylenol, child #13 had infant acetaminophen and Little Remedies Saline Spray, child #14 had infant acetaminophen, child #15 had Infant Tylenol, child #16 had children's acetaminophen and children's ibuprofen, and child #7 had Infant Tylenol that lacked written parental consent for administration of the medication.

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

Noncompliance Area: In the infant room, the diapering can located under the changing table in a locked cabinet lacked a hands-free method of opening the can.

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

Noncompliance Area: The file for staff person #1 had a health assessment that exceeded 24 months between assessments.

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

Noncompliance Area: The file for child #4 lacked a current emergency contact form and agreement updated within the last 6 months. The file for child #5 lacked a current agreement updated within the last 6 months.

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

Noncompliance Area: The file for child #1 and child #2 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Noncompliance Area: The file for staff person #2 had emergency plan training that exceeded a year between trainings.

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 file for staff person #1 had an FBI clearance dated 8-13-13 and lacked an updated FBI clearance within the last 60 months. The file for staff person #2 with a start date of 8-30-18, had a child abuse clearance dated 9-6-18 and an FBI clearance dated 9-18-18 that were after the staff person's start date working with children.

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. Staff Person #1 may not work in a child care position at the facility.

Noncompliance Area: The file for staff person #1 had a staff evaluation that exceeded 12 months between evaluations.

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

Noncompliance Area: In the older toddler room in a locked cabinet under the sink, there were a container of pretzels, cereal, and a plastic container with graham crackers that were stored next to a bottle of Fantastik All-purpose Cleaner and a container of sun screens.

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: According to the fire drill log, a fire drill was not held every 60 days from 10-26-18 to today's date of 12-28-18. A current fire drill is required.

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.

Noncompliance Area: At 1:40 p.m. in the preschool 1 room during nap time, staff person #1 identified 16 children in her group, including six 2-year olds and ten 3-year olds, resulting in staff person #1 being out of ratio.

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

Noncompliance Area: In the pre-k/preschool 2 room, the preschool 1 room, the toddler 3 room, and in the downstairs changing table area by the toddler rooms, there were several mats that had tears in multiple places with small pieces coming apart that could be placed in a child's mouth. In the toddler 3 room, there were many fish-shaped foam blocks in a bin on a shelf that had teeth marks and small pieces coming apart that could be placed in a child's mouth. In the preschool 1 room, there was a blue fabric sofa and a red fabric chair with multiple tears and small pieces of fabric coming apart that could be placed in a child's mouth.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: In the infant room, there were 2 infants that were each sleeping in a crib with a strap clipped to their shirt with a pacifier attached at the end of the strap.

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

Noncompliance Area: The file for child #4 and child #7 lacked a current child service report within the last 6 months. The file for child #5 had a child service report that exceeded 6 months between reports.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file for child #4 had an agreement that lacked the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The file for child #2 had an agreement that lacked the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The file for child #2 had an emergency contact form that lacked the physician's address.

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

Noncompliance Area: The file for child #1 had an emergency contact form that lacked the health insurance policy number.

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

Noncompliance Area: The file for child #3, an infant, and child #6, a young toddler, lacked a current health assessment updated within the last 6 months. The file for child #4 and child #5, young toddlers, had a health assessment that exceeded 6 months between assessments.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Noncompliance Area: The file for child #1, a preschooler, lacked a current health assessment updated within the last 12 months. The file for child #7, a preschooler, had a health assessment that exceeded 12 months between assessments.

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.

Noncompliance Area: The file for staff person #7 lacked a current health assessment within the last 24 months.

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

Noncompliance Area: The file for staff person #1 had a health assessment that lacked the date the TB test was read.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The file for staff person #2 had a health assessment that lacked an examination for communicable diseases and the results of that examination and lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The file for child #1 and child #6 had an agreement that exceeded 6 months between updates. The file for child #4 had an emergency contact form that exceeded 6 months between updates.

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.

Noncompliance Area: The file for staff person #1 lacked verification of education/experience.

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: The file for staff person #1, staff person #4, and staff person #5 lacked two written, nonfamily references. The file for staff person #6 had one reference and lacked a second written, nonfamily reference.

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: In the changing table area by the downstairs toddler rooms, there was a small stereo on a high shelf that was plugged into an outlet on the wall, with the cord hanging where a child could pull on it, resulting in a hazard.

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

Noncompliance Area: The phone number for contacting the local DHS office was not posted in a conspicuous location used by parents.

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

Noncompliance Area: The file for staff person #1 and staff person #4 lacked emergency plan training at their start date. The file for staff person #2 lacked emergency plan training at her start date and requires current 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.

Noncompliance Area: The file for staff person #1 and staff person #3 lacked a disclosure statement at their start date. The file for staff person #2 lacked a disclosure statement at her start date and requires a current disclosure statement. The file for staff person #2 had a volunteer state police clearance and a volunteer child abuse clearance and lacked state police and child abuse clearances for employment. The file for staff person #3, staff person #5, and staff person #6 lacked mandated reporter training completed within 90 days of their start date and require current mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff person #7 lacked a current staff evaluation within the last 12 months.

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

Noncompliance Area: The file for staff person #4, functioning as a group supervisor, lacked verification of education to qualify as a group supervisor.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In the downstairs changing table area by the toddler rooms, there was electrical outlet in the corner by the clock that was missing an outlet cover.

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

Noncompliance Area: In the upstairs bathroom, there were 3 stalls with toilets that lacked handwashing signs at each toilet.

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.