The Learning Train Academy South Philly Llc

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 6/22/20- 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 NSOR clearance has been obtained and submitted. Submit a copy of the required CPSL clearance document (NSOR) for the identified staff person.

Noncompliance Area: The facility lacked a sufficient amount of art materials for tactile development in the young toddler classroom. CONTINUING NON-COMPLIANCE

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development. Obtain additional art materials for tactile development in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: The facility lacked a sufficient amount of toys and equipment for large muscle development such as push/pull toys in the young toddler classroom. CONTINUING NON-COMPLIANCE

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys and equipment for large muscle development. Obtain additional of toys and equipment for large muscle development in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: An infant was observed sleeping face down on a pillow on the floor. (#5) CONTINUING NON-COMPLIANCE

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all facility staff persons to complete training in proper infant sleeping position and use of age-appropriate rest equipment. Submit written verification of the completed training for all facility staff.

Noncompliance Area: The written plan of daily activities was not posted in each child care space. (infant room) CONTINING NON-COMPLIANCE

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. Post the written plan of daily activities in the infant room.

Noncompliance Area: Daily activities did not promote the development of skills, social competence and self-esteem when two staff persons were observed unable to engage and involve the children in the young toddler classroom in purposeful activity and routines. During the inspection children were observed wandering around, climbing on highchairs and tables and standing around without being engaged in any activity. CONTINUING NON-COMPLIANCE

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for young toddlers and classroom management. The legal entity must ensure that the training is completed through the PA Key. Submit written verification of the completed training for all facility persons.

Noncompliance Area: On 1/2/20 at approximately 4pm, a group of eight young school age children (kindergarten to 3rd grade) were left alone and unattended on two occasions when the group supervisor left the room to attend to other tasks. (staff #9) CONTINUING NON-COMPLIANCE

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: One child's record contained an agreement that has not been signed by the parent..(#3)NCONTINUING NON-COMPLAINCE

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 of the original and subsequent agreements are contained in the child's record.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#2 and #4) CONTINUING NON-COMPLIANCE

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). Complete and submit a current up-to-date child service report for the indicated children. Ensure that child service reports are completed for all children as specified in this regulation

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. CONTINUING NON-COMPLIANCE

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child.

Noncompliance Area: Two children's records did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age. (#2 and #3) CONTINUING NON-COMPLIANCE

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 6 months for children from infant to young age.

Noncompliance Area: One child has been enrolled for more than 60 days and their record did not include written verification of current up-to-date immunizations.(#4) CONTIUING NON-COMPLIANCE

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.The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code 27.77 (relating to immunization requirements for children in child care group settings). In accordance with the Department of Health regulations, the child cannot return to care until written verification of current up-to-date immunizations have been obtained and submitted. Submit a copy of the current up-to-date immunizations for the indicated child. Ensure that children's records include current up-to-date immunizations within 60 days of enrollment.

Noncompliance Area: Three staff person's records did not contain a health assessment including negative TB skin testing completed within 12 months prior to the date of hire. (#5, #6 and #8) CONTINUING NON-COMPLIANCE

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: Two facility person's health assessments did not include written verification of negative tuberculosis screening by the Mantoux method within12 months prior to date of initial employment . (#1-the health assessment did not include the Mantoux test date) (#3 and #5- more than 12 moths old) (#6-none) CONTINUING NON-COMPLIANCE

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. Obtain and submit written documentation from the staff person's physician verifying negative Mantoux TB testing within12 months prior to date of initial employment or submit written verification of completed updated TB skin testing. Ensure that all new facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: Menus were not conspicuously posted in the facility or provide a menu to each family. CONTINUING NON-COMPLIANCE

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Ensure that menus are conspicuously posted in the facility or provided to each family.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#1) CONTINUING NON-COMPLIANCE

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: Several 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, #2, #4, #6 and #8) CONTINUING NON-COMPLIANCE

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: Several staff person's records did not include written verification of initial emergency plan training and/or written verification that the emergency plan training was completed at the time of initial employment. (#1, #2, #3, #4, #5- not upon initial employment) (#6 and #9-none) CONTINUING NON-COMPLIANCE

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. Ensure that the parent receives the original and that a copy of the original and subsequent agreements are contained in the child's record. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and documented upon initial employment and annually.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1 hired 10/21/19- no STATE POLICE (volunteer clearance), no signed DISCLOSURE STATEMENT, no proof of request for FBI prior to working with children-nothing in file, no proof of request for NSOR prior to working with children- nothing in file; (#3- hired 9/4/19-no signed witness on DISCLOSURE STATEMENT); (#4- hired 9/3/19 no signed witness on DISCLOSURE STATEMENT); (#6-hired 12/23/19-no DISCLOSURE STATEMENT, no proof of request for FBI prior to working with children-nothing in file, no proof of request for NSOR prior to working with children- nothing in file); (#7- CHILD ABUSE and FBI not updated within 60 months- CHILD ABUSE completed 3/22/14 updated 8/7/19 and FBI completed 3/17/14 updated 8/19/19); (#8- hired 10/1/19- no date on DDISCLOSURE STATEMENT ,no proof of request for NSOR prior to working with children- nothing in file). 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, #3, #6 and #8 may not work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , 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 clearance documents within the required timeframes in accordance with the CPSL

Noncompliance Area: The facility lacked a qualified director. Hire a qualified director and submit written verification of education and experience for verification of qualifications. Ensure that all staff records have written verification of education and experience for their positions. CONTINUING NON-COMPLIANCE

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their group supervisor position. (#9)

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. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their position.

Noncompliance Area: Two staff person's records did not contain written verification of education and experience for their assistant group supervisor position. (#1 and #6

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. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their aide position. (#8)

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 person. Ensure that all staff records have written verification of education and experience for their position.

Noncompliance Area: On 1/2/20, at approximately 11:30am, one staff person was observed caring for a group of 7 young toddlers (1 years old) in the young toddler classroom. The staff person verified the ages of the children in care. (staff #2) CONTINUING NON-COMPLIANCE

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. The legal entity must arrange for all facility staff to receive a minimum of 2 hours/ hands on/DHS approved training and develop a written staffing plan that includes hiring additional staff/staff schedules and provisions for staff shortages, callout and etc. and other times of transition to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons and a copy of the written staffing plan.

Noncompliance Area: Surfaces in the facility were in need of cleaning: walls near gate in Butterflies room; rear door in need of cleaning and/or painting. CONTIUING NON-COMPLIANCE

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. Complete all cleaning as specified. Submit written documentation to verify compliance. Develop and submit a written schedule for ongoing cleaning to ensure that the facility is kept clean.

Noncompliance Area: Hand washing signs were not posted at each toilet in the facility. CONTINUING NON-COMPLIACE

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. Post hand washing signs at each toilet specifying that a facility person and an able child shall wash his hands after toileting and before eating as required.

Noncompliance Area: There was no written record of fire drills completed between 3/1/19 and 5/24/19. CONTINUING NON-COMPLIANCE

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. Revise and submit written fire drill policies to ensure that fire drills are completed and recorded at least every 60 days as specified in this regulation. Conduct and send a record of all fire drills completed within the next 30 days.

Noncompliance Area: The facility lacked a sufficient amount of art materials for tactile development in the young toddler classroom.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development. Obtain additional art materials for tactile development in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: The facility lacked a sufficient amount of toys and equipment for large muscle development such as push/pull toys in the young toddler classroom.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys and equipment for large muscle development. Obtain additional of toys and equipment for large muscle development in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: An infant was observed sleeping face down on a pillow on the floor. (#5)

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all facility staff persons to complete training in proper infant sleeping position and use of age-appropriate rest equipment. Submit written verification of the completed training for all facility staff.

Noncompliance Area: The written plan of daily activities was not posted in each child care space. (infant room)

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. Post the written plan of daily activities in the infant room.

Noncompliance Area: Daily activities did not promote the development of skills, social competence and self-esteem when two staff persons were observed unable to engage and involve the children in the young toddler classroom in purposeful activity and routines. During the inspection children were observed wandering around, climbing on highchairs and tables and standing around without being engaged in any activity

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for young toddlers and classroom management. The legal entity must ensure that the training is completed through the PA Key. Submit written verification of the completed training for all facility persons.

Noncompliance Area: On 1/2/20 at approximately 4pm, a group of eight young school age children (kindergarten to 3rd grade) were left alone and unattended on two occasions when the group supervisor left the room to attend to other tasks. (staff #9)

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: On 12/12/ 2019, a toddler was crying in distress on one side of a room while staff person was at the other end of the room tending to other children and unable to assess what was going with the child whom she was also responsible for supervising. (child #1, staff #1)

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 to receive a minimum of two hours of hands-on DHS approved training in proper supervision of children, including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children. Submit written verification of the training content as well as written verification of the completed training for all facility staff persons.

Noncompliance Area: One child's record contained an agreement that has not been signed by the parent..(#3)

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 of the original and subsequent agreements are contained in the child's record.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#2 and #4)

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). Complete and submit a current up-to-date child service report for the indicated children. Ensure that child service reports are completed for all children as specified in this regulation

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 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 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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child.

Noncompliance Area: Two children's records did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age. (#2 and #3)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 6 months for children from infant to young age.

Noncompliance Area: One child has been enrolled for more than 60 days and their record did not include written verification of current up-to-date immunizations.(#4)

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code 27.77 (relating to immunization requirements for children in child care group settings). In accordance with the Department of Health regulations, the child cannot return to care until written verification of current up-to-date immunizations have been obtained and submitted. Submit a copy of the current up-to-date immunizations for the indicated child. Ensure that children's records include current up-to-date immunizations within 60 days of enrollment.

Noncompliance Area: Three staff person's records did not contain a health assessment including negative TB skin testing completed within 12 months prior to the date of hire. (#5, #6 and #8)

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: Two facility person's health assessments did not include written verification of negative tuberculosis screening by the Mantoux method within12 months prior to date of initial employment . (#1-the health assessment did not include the Mantoux test date) (#3 and #5- more than 12 moths old) (#6-none)

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. Obtain and submit written documentation from the staff person's physician verifying negative Mantoux TB testing within12 months prior to date of initial employment or submit written verification of completed updated TB skin testing. Ensure that all new facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: Menus were not conspicuously posted in the facility or provide a menu to each family.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Ensure that menus are conspicuously posted in the facility or provided to each family.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#1)

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: A child sustained a bloody node while in care and the facility failed to provide the parent the original report of the child's illness on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Ensure that parents are provided the original report on the day of the incident involving an injury, accident or illness. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

Noncompliance Area: Several 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, #2, #4, #6 and #8)

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: Fire detection system inspected. Operator was not able to activate system or submit written verification from fire alarm company indicating that the fire detection system is operable and had been tested within the past year.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of compliance with 34 PA Code 403.23 is required.

Noncompliance Area: Several staff person's records did not include written verification of initial emergency plan training and/or written verification that the emergency plan training was completed at the time of initial employment. (#1, #2, #3, #4, #5- not upon initial employment) (#6 and #9-none)

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and documented upon initial employment and annually.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1- hired 10/21/19-no STATE POLICE (volunteer clearance), no signed DISCLOSURE STATEMENT, no proof of request for FBI prior to working with children-nothing in file, no proof of request for NSOR prior to working with children- nothing in file; (#3- hired 9/4/19-no signed witness on DISCLOSURE STATEMENT); (#4- hired 9/3/19 no signed witness on DISCLOSURE STATEMENT); (#6-hired 12/23/19-no DISCLOSURE STATEMENT, no proof of request for FBI prior to working with children-nothing in file, no proof of request for NSOR prior to working with children- nothing in file); (#7- CHILD ABUSE and FBI not updated within 60 months- CHILD ABUSE completed 3/22/14 updated 8/7/19 and FBI completed 3/17/14 updated 8/19/19); (#8- hired 10/1/19- no date on DDISCLOSURE STATEMENT ,no proof of request for NSOR prior to working with children- nothing 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, #3, #6 and #8 may not work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , 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 clearance documents within the required timeframes in accordance with the CPSL

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. Facility person #1 was observed caring for children and lacked completed CPL clearances ( hired 10/21/19, no STATE POLICE (volunteer clearance), no signed DISCLOSURE STATEMENT, no proof of request for FBI prior to working with children-nothing in file, no proof of request for NSOR prior to working with children- nothing 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 may not work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , 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 clearance documents within the required timeframes in accordance with the CPSL

Noncompliance Area: The facility lacked a qualified director.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6). Hire a qualified director and submit written verification of education and experience for verification of qualifications. Ensure that all staff records have written verification of education and experience for their positions.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their group supervisor position. (#9)

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. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their position.

Noncompliance Area: Two staff person's records did not contain written verification of education and experience for their assistant group supervisor position. (#1 and #6

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. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their aide position. (#8)

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 person. Ensure that all staff records have written verification of education and experience for their position.

Noncompliance Area: On 1/2/20, at approximately 11:30am, one staff person was observed caring for a group of 7 young toddlers (1 years old) in the young toddler classroom. The staff person verified the ages of the children in care. (staff #2)

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. The legal entity must arrange for all facility staff to receive a minimum of 2 hours/ hands on/DHS approved training and develop a written staffing plan that includes hiring additional staff/staff schedules and provisions for staff shortages, callout and etc. and other times of transition to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons and a copy of the written staffing plan.

Noncompliance Area: On 1/2/20, at approximately 11:30am, one staff person was observed caring for a group of 7 young toddlers (1 years old) in the young toddler classroom. The staff person verified the ages of the children in care. (staff #2)

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. The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times.

Noncompliance Area: Dishwashing liquid was observed on the same counter with a box of vanilla wafers in the young toddler room and hard surface cleaner was observed on the same counter with a bag of flour in the older toddler room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Remove the toxic materials and ensure that cleaning and toxic materials are stored away from food.

Noncompliance Area: Surfaces in the facility were in need of cleaning: walls near gate in Butterflies room; rear door in need of cleaning and/or painting.

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. Complete all cleaning as specified. Submit written documentation to verify compliance. Develop and submit a written schedule for ongoing cleaning to ensure that the facility is kept clean.

Noncompliance Area: Hand washing signs were not posted at each toilet in the facility.

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. Post hand washing signs at each toilet specifying that a facility person and an able child shall wash his hands after toileting and before eating as required.

Noncompliance Area: There was no written record of fire drills completed between 3/1/19 and 5/24/19.

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. Revise and submit written fire drill policies to ensure that fire drills are completed and recorded at least every 60 days as specified in this regulation. Conduct and send a record of all fire drills completed within the next 30 days.

Noncompliance Area: Children were observed resting on a cot that was not labeled for the use of that specific child and used only by that child. Ten children were observed resting on cots and the cot list only associated 6 children with numbers. CONTINUING NON-COMPLIANCE

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. Revise the cot labeling system to associate all children with the properly numbered cots.

Noncompliance Area: Three staff persons were observed caring for a group of 8 infant/young toddlers in the infant/young toddler room and one of the staff persons was not able to name specific children she was responsible for supervising. ( staff #4). CONTINUING NON-COMPLIANCE

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff persons to receive training in proper supervision of children, including procedures for assigning staff the responsibility for supervision of specific children as well as for staff persons knowing the names of the children in their assigned group. Submit written verification of the completed training for all facility staff persons. Submit written documentation of the facility's procedures for assigning supervision responsibility.

Noncompliance Area: The facility lacked a written, posted plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

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. Develop and submit written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: Two staff person's health assessment did not include written verification of tuberculosis screening by the Mantoux method at initial employment. (#1 and #4)

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. Obtain and submit written verification of current negative TB testing for the identified staff person. Ensure that facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: A staff person was observed taking food away from a child after giving food to the child during lunch time in the preschool classroom. The child cried requesting the food that was taken away and the staff person did not make the food available. The food was only given to the child when the staff person was informed that her actions were a violation of this regulatory requirement. CONTINUING NON-COMPLIANCE

Correction Required: Food servings shall be portioned suitably for the size and age of the children in care. Additional food in reasonable amounts shall be made available to children upon the request of the parent or child. The legal entity must ensure that children are given additional food in reasonable amounts when requested. Revise and submit a written policy statement regarding additional food in reasonable amounts to be made available at the request of the child. Notify staff of this requirement and submit written notification that includes each staff person's signature.

Noncompliance Area: Safe routes, including safe pedestrian crossways, pick-up and drop-off points and bike routes were not appropriately determined in the vicinity of the facility, communicated to the children and parents in writing and posted. CONTINUING NON-COMPLIANCE

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. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Develop, post and submit written safe routes notification as specified.

Noncompliance Area: Several children'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. #1-none at the time of admission as the initial emergency contact form was missing (#3 and #4-none on record. CONTINUING NON-COMPLIANCE

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 children as specified in the regulation. Revise and submit written policies and procedures to ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One child's record did not contain a copy of the initial agreement in accordance with this regulation. (#1) CONTINUING NON-COMPLIANCE

Correction Required: 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. Revise and submit written facility policies and procedures to ensure that a copy of the original signed agreement and subsequent written agreements are retained by the facility and that the parent receives the original agreement.

Noncompliance Area: Several 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, #2 and #4) CONTINUING NON-COMPLIANCE

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. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: Several facility person's records did not include written verification of emergency plan training at the time of initial employment. (#1, #2, #3 and #4) CONTINUING NON-COMPLIANCE

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. Provide and submit written verification of the completed training for all identified facility persons. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and properly documented at the time of initial employment and annually.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1- hired 4/15/19-no proof of request for FBI fingerprinting prior to working with children (#2- hired 5/13/19- no proof of request for CHILD ABUSE and FBI fingerprinting prior to working with children)(#3- hired 2-4-19- no completed STATE POLICE within 90 days-report reads "under review")(#4-hired 3-1-19- no proof of request for FBI fingerprinting prior to working with children and no completed FBI within 90 days; no mandated reporter training. 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, #2, #3 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 within the required timeframes in accordance with the CPSL.

Noncompliance Area: The facility lacked a qualified director. The person listed on the staff data sheet as the director was not present at the time of the inspection and unable to show acceptable photo identification to verify their identity and establish that the individual name matches the qualification documentation on file. (#6) CONTINUING NON-COMPLIANCE

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6). The director must be present and able to show acceptable photo identification to verify their identity establish that the individual name matches the qualification documentation on file. Ensure that that director is present as specified in this regulation in order to verify their identity and establish their qualifications.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their group supervisor position. (#3-none) CONTINUING NON-COMPLIANCE

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). 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 person. Ensure that all staff records have written verification of education and experience for their positions.

Noncompliance Area: Two staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#2-none) (#5- document illegible) CONTINUING NON-COMPLIANCE

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. Obtain and submit acceptable written verification of education and experience for the identified staff persons.

Noncompliance Area: Several electrical outlets in the red and yellow classrooms lacked protective covers. CONTINUING NON-COMPLIANCE

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers when not in use.

Noncompliance Area: Sinks used by children in the infant/young toddler classrooms were not at a proper height for the young toddlers and lacked a platform or steps to make it easily approachable. CONTINUING NON-COMPLIANCE

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. Obtain a platform or steps to make the sinks more approachable for the young toddlers.

Noncompliance Area: Hand washing signs were not posted at each toilet in both bathrooms in the facility. CONTINUING NON-COMPLIANCE

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. Post hand washing signs at each toilet specifying that a facility person and an able child shall wash his hands after toileting and before eating as required.

Noncompliance Area: Surfaces in the facility were in need of repair and presented a visible hazard: (1) wet carpet from ceiling leak (2) ceiling leak (3) bucket of standing water.

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. Immediately remove bucket of standing water. Make the necessary repairs and ensure that facility surfaces are kept in good repair and free from visible hazards.

Noncompliance Area: Children were observed resting on a cot that was not labeled for the use of that specific child and used only by that child. Ten children were observed resting on cots and the cot list only associated 6 children with numbers.

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. Revise the cot labeling system to associate all children with the properly numbered cots.

Noncompliance Area: Three staff persons were observed caring for a group of 8 infant/young toddlers in the infant/young toddler room and one of the staff persons was not able to name specific children she was responsible for supervising. ( staff #4)

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff persons to receive training in proper supervision of children, including procedures for assigning staff the responsibility for supervision of specific children as well as for staff persons knowing the names of the children in their assigned group. Submit written verification of the completed training for all facility staff persons. Submit written documentation of the facility's procedures for assigning supervision responsibility.

Noncompliance Area: The agreement in one child's record did not include services to be provided to the family and child. (#2)

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). Amend the child's agreement to include this information and submit a written copy of the amended agreement for verification of compliance. Ensure that all children's agreements include this information as specified in this regulation.

Noncompliance Area: The facility lacked a written, posted plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

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. Develop and submit written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: Two staff person's health assessment did not include written verification of tuberculosis screening by the Mantoux method at initial employment. (#1 and #4)

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. Obtain and submit written verification of current negative TB testing for the identified staff person. Ensure that facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: A staff person was observed taking food away from a child after giving food to the child during lunch time in the preschool classroom. The child cried requesting the food that was taken away and the staff person did not make the food available. The food was only given to the child when the staff person was informed that her actions were a violation of this regulatory requirement.

Correction Required: Food servings shall be portioned suitably for the size and age of the children in care. Additional food in reasonable amounts shall be made available to children upon the request of the parent or child. The legal entity must ensure that children are given additional food in reasonable amounts when requested. Revise and submit a written policy statement regarding additional food in reasonable amounts to be made available at the request of the child. Notify staff of this requirement and submit written notification that includes each staff person's signature.

Noncompliance Area: Several bottles observed in the infant room were 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: Safe routes, including safe pedestrian crossways, pick-up and drop-off points and bike routes were not appropriately determined in the vicinity of the facility, communicated to the children and parents in writing and posted.

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. Develop, post and submit written safe routes notification as specified.

Noncompliance Area: Several children'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. #1-none at the time of admission as the initial emergency contact form was missing (#3 and #4-none on record.

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 children as specified in the regulation. Revise and submit written policies and procedures to ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One child's record did not contain a copy of the initial agreement in accordance with this regulation. (#1)

Correction Required: 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. Revise and submit written facility policies and procedures to ensure that a copy of the original signed agreement and subsequent written agreements are retained by the facility and that the parent receives the original agreement.

Noncompliance Area: Several 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, #2 and #4)

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: Several facility person's records did not include written verification of emergency plan training at the time of initial employment. (#1, #2, #3 and #4)

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. Provide and submit written verification of the completed training for all identified facility persons. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and properly documented at the time of initial employment and annually.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1- hired 4/15/19-no proof of request for FBI fingerprinting prior to working with children (#2- hired 5/13/19- no proof of request for CHILD ABUSE and FBI fingerprinting prior to working with children)(#3- hired 2-4-19- no completed STATE POLICE within 90 days-report reads "under review")(#4-hired 3-1-19- no proof of request for FBI fingerprinting prior to working with children and no completed FBI within 90 days; no mandated reporter training.

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, #2, #3 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 within the required timeframes in accordance with the CPSL.

Noncompliance Area: The facility lacked a qualified director. The person listed on the staff data sheet as the director was not present at the time of the inspection and unable to show acceptable photo identification to verify their identity and establish that the individual name matches the qualification documentation on file. (#6)

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6). The director must be present and able to show acceptable photo identification to verify their identity establish that the individual name matches the qualification documentation on file. Ensure that that director is present as specified in this regulation in order to verify their identity and establish their qualifications.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their group supervisor position. (#3-none)

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). 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 person. Ensure that all staff records have written verification of education and experience for their positions.

Noncompliance Area: Two staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#2-none) (#5- document illegible)

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. Obtain and submit acceptable written verification of education and experience for the identified staff persons.

Noncompliance Area: Several electrical outlets in the red and yellow classrooms lacked protective covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers when not in use.

Noncompliance Area: Sinks used by children in the infant/young toddler classrooms were not at a proper height for the young toddlers and lacked a platform or steps to make it easily approachable.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. Obtain a platform or steps to make the sinks more approachable for the young toddlers.

Noncompliance Area: Hand washing signs were not posted at each toilet in both bathrooms in the facility.

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. Post hand washing signs at each toilet specifying that a facility person and an able child shall wash his hands after toileting and before eating as required.

Noncompliance Area: The facility lacked a sufficient amount of play equipment and materials to facilitate the children`s emotional, cognitive, communicative, perceptual-motor, physical and social development in both infant classrooms and the PreK classroom. Obtain additional play equipment and materials as specified. Submit written documentation of purchase receipts for verification of compliance.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Obtain additional play equipment and materials as specified.

Noncompliance Area: One staff person's record did not contain a health assessment completed within 12 months prior to the date of hire including negative TB skin testing. (#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. 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. Obtain and submit a current up-to-date health assessment for the identified staff person including negative TB skin testing. Ensure that health assessments contain the required information and are completed within the required timeframes.

Noncompliance Area: One staff person's record did not contain written verification of experience for their assistant group supervisor position. (#2)

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. Obtain and submit written verification of education and experience for the identified staff person.

Noncompliance Area: Several electrical outlets accessible to children 5 years of age or younger lacked protective covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers when not in use.