The Believing Children

Regulation: 3280.131(b)

Description: Updated health reports

Noncompliance Area: On 10/30/25, during the renewal inspection, the file of child #4 contained an out-of-date health report, dated 04/01/24.

Correction Required: The operator shall require the parent to provide an updated health report in accordance with the following schedules specified in §3280.131(b)(1-2)

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 10/23/24 the file reviewed for child #2 and child #5 did not include child service report. The file reviewed for child #4 included a child service report that was not updated within 6-month time period.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 10/23/24 the emergency contact form reviewed for child #3 did not include 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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 10/23/24 the emergency contact form reviewed for child #3 did not include the release persons address.

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.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: During the renewal inspection on 10/23/24 the fee agreement reviewed for child #3, child #4 and child #5 was not reviewed/updated within 6-month time period. The emergency contact form reviewed for child #4 and child #5 was not reviewed/updated within 6-month time period.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: During the renewal inspection on 10/23/24 the file reviewed for child #1 did not include an initial health assessment within 60 days of date of admission.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 10/23/24 there was no documentation confirming that emergency drill was conducted annually.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection 10/23/24 the first aid kit reviewed did not include tweezers and soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: On 1/24/23, an on site inspection was conducted. Staff person #2 was identified as a new hire who was in training. She was observed in physical contact with children and does not have a physical on file.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 has a State Police clearance for a volunteer, not employment. Their Child Abuse clearance and their Mandated Reporter training were over 5 years old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. 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: 3280.151(c)(3)/3280.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: Staff person # 1 has a physical that does not address suitability to work in child care or communicable disease status.

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.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: Staff person #1 does not have two 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.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 does not have an NSOR clearance. Their state police clearance read "request under review". Operator stated that staff person #1 does have a criminal history. The disclosure statement is not dated.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. 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: Child #2 does not have date of birth on emergency contact info.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: Children # 2 & 3 do not have doctor's phone number on emergency contact info.

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: Children # 2, 3, & 4 are missing health insurance info and/or policy number.

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

Noncompliance Area: Children # 1 & 4 are missing release person's address on their emergency contact info.

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 facility has not had the parents of children # 2, 3, 4, & 5 update and sign off every 6 months on emergency contact forms and agreements.

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.

Noncompliance Area: Child # 3, date of enrollment 5/20/19, does not have a physical on file, only a shot record.

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

Noncompliance Area: Child # 4, an older toddler, last has a health assessment on file dated 10/10/18.

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: Facility person #3 does not have a TB test on file.

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

Noncompliance Area: Staff person #2 has a health assessment that does not address their suitability to work in child care nor their communicable disease status.

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: Operator had not documented that she is reviewing the emergency plan annually. Operator is not documenting in writing that she is training staff on the emergency plan at initial employment and on an annual basis.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. 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.

Noncompliance Area: Staff persons # 1, 2, 3, & 4 did not have signed disclosure statements in their records. (Staff #1 & 2 signed during inspection.) Staff person #3, volunteering at the facility since 7/11/18, does not have a child abuse clearance in her record nor verification of mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 3 & 4 may not work in a child care position at the facility. 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: Cribs are not individually labeled.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: No thermometer in the refrigerator.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: Child #2 does not have physician's information on the emergency contact form.

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: Child #2 does not have health insurance information on the emergency contact form.

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: Facility stated that they have a bag in the basement, not in the child care space, with emergency contact information in it if they need to evacuate and that the forms need to be updated.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: Facility does not have a written emergency transport plan posted.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Child # 1 has an emergency contact form last reviewed on 1/10/18, more than six months ago.

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

Noncompliance Area: Child #2, enrolled on 7/5/18, only has a shot record in her file.

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

Noncompliance Area: Child #1 last had a physical on 8/1/17. Parents provided a shot record only in August, 2018.

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: Staff # 4, 5, 6, & 7 do not have physicals in their files.

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

Noncompliance Area: Staff person's # 1 & 2 do not have 2 references in their files.

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: Facility did not have regulations, Chapter 3280, available and posted for 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: Staff person #3, disclosure signed 2/16/17, did not have a copy of her Child Abuse or FBI in her record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 3 may not work in a child care position at the facility.

Noncompliance Area: Staff person #6 does not have verification of education.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: There is peeling paint on walls throughout the facility.

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

Noncompliance Area: Facility could only provide a log of one fire drill held on 11/13/18. They could not document that they are holding fire drills every 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Emergency contact and financial agreement information in two children's records were not being updated every 6 months.(#1 and #2) One child's record did not contain emergency contact and financial agreement completed in the past 6 months.(#1) One child's record had emergency contact and financial agreement information that was being updated yearly (#2)

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f). Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. Obtain and submit current up-to date emergency contact and financial agreement information for the identified children.

Noncompliance Area: One child's record lacked emergency contact information as specified in these regulations. (#2)

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency. Obtain and submit the required emergency contact information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

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

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

Noncompliance Area: Two facility person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months-no dates. (#1 and #2)

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 facility persons. Ensure that health assessments are dated and completed within the required timeframes.

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1)

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. Obtain and submit current up-to date emergency contact and financial agreement information for the identified child. Ensure that this information is updated every 6 months for all enrolled children as specified. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1)

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

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

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

Noncompliance Area: Several children's records lacked an agreement. (#1 and #3). CONTINUING DEFICIENCY

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a completed agreement signed by both operator and parent for the indicated children. Ensure that all children's records have agreements that are properly signed as specified.

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1 and #3). CONTINUING DEFICIENCY

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department`s approved form to provide information to the family about the child`s growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f). Complete and submit a current up-to-date child service report for the indicated children. Provide child service report training for all facility staff. Submit a copy of the completed training for all facility staff persons.

Noncompliance Area: One child's emergency contact information did not include the health insurance policy number. ( #5). CONTINUED DEFICIENCY

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Obtain the health insurance policy number for the identified child. Ensure that all childrens records include the health insurance information as specified in this regulation.

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months. (#4). CONTINUING DEFICIENCY

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated children. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: Two staff person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. (#1, #2). CONTINUING DEFICIENCY

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. Ensure that health assessments are completed within the required timeframes.

Noncompliance Area: Two children' s records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1 and #4). CONTINUING DEFICIENCY

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. Obtain and submit a written copy of the current up-to date financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: One facility person did not have a record that was presented at the time of the inspection. (#8) CONTINUING DEFICIENCY

Correction Required: An individual record is required for each facility person. Obtain and submit a copy of the completed file for the identified facility person. Ensure that each facility person has a completed individual record.

Noncompliance Area: Two facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility persons. (#1, and #3).

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: Two staff person's records did not contain written verification of experience for their primary staff position. (#1 and #2). Documents reviewed on 10/24/17 did not include verification of education for both staff persons. CONTINUING DEFICIENCY

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with childrenA 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/or experience for the indicated staff person.

Noncompliance Area: Three staff persons were observed caring for a mixed-age group of 6 infants/young and older toddlers and none of the staff persons were able to name specific children they were responsible for supervising. (staff #5, #8 and #9)

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. Train all facility staff person 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 facilitys procedures for assigning supervision responsibility.

Noncompliance Area: Several children's records lacked an agreement. (#1, #2 and #3). Documentation reviewed on 10/24/17 did not include a completed agreement signed by both operator and parent for the indicated children. (#1 and #3)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a completed agreement signed by both operator and parent for the indicated children. Ensure that all children's records have agreements that are properly signed as specified.

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2 and #3). Documentation reviewed on 10/24/17 did not includea a child service report that had been completed within the past 6 months. (#1 and #3). CONTINUING DEFICIENCY

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department`s approved form to provide information to the family about the child`s growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f). Complete and submit a current up-to-date child service report for the indicated children. Provide child service report training for all facility staff. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance. Submit a copy of the completed training for all facility staff persons.

Noncompliance Area: Several childrens emergency contact information did not include the health insurance policy number. (#2, #4 and #5). Documentation reviewed on 10/24/17 did not include the health insurance policy number the identified children (#5)

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Obtain the health insurance policy number for the identified child. Ensure that all childrens records include the health insurance information as specified in this regulation.

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

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

Noncompliance Area: Two children's records did not contain a health report completed within the past 12 months. (#3 and #4). Documrntation reviewed on 10/24/17 did not incude a healt report completed within the past 12 months (#4)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated children. Ensure that all childrens records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: Two staff person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. (#1, #2). Documentation reviewed on 10/24/17 did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. (#1, #2).

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. Ensure that health assessments are completed within the required timeframes.

Noncompliance Area: One staff person's health assessment was not signed by a physician, physician's assistant or CRNP and did not include the individual's professional title. (#3)

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.Submit a current up-to-date health assessment signed by a physician, physician's assistant or CRNP that includes the individuals professional title.

Noncompliance Area: Two children' s records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1 and #4). Documentation reveiwed on 10/24/17 did not contain financial agreement information that had been updated within the past 6-months. (#1 and #4).

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#3)

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

Noncompliance Area: One facility person did not have a record that was presented at the time of the inspection. (#8) Documentation reveiwed on 10/24/17 did not contain a copy of the completed file for the identified facility person.

Correction Required: An individual record is required for each facility person. Obtain and submit a copy of the completed file for the identified facility person. Ensure that each facility person has a completed individual record.

Noncompliance Area: One staff person's record did not contain verification of age. (#3).

Correction Required: A facility person`s record shall include verification of age. Obtain and submit written verification of age for the identified staff persons. Ensure that all facility staff records contain written verification of age.

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 persons. (#1, #2, #3 #4, #5, #6 and #7). Documentation reveiwed on 10/24/17 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility persons. (#1 and #3).

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: A copy of the 55 PA CODE 3280 regulations was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

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. Post a copy of the regulations in a conspicuous location as specified.

Noncompliance Area: There was no written documentation verifying the annual review of the emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Review the emergency plan and submit written documentation for verification.

Noncompliance Area: Several staff person's records did not contain written verification of initial and/or annual emergency plan training. (Initiai-#1, #2 , #4, #5 and #7) (Annual- #3 and #6)

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. Obtain and submit written verification of initial and/ or annual emergency plan training for the identified staff persons. Ensure that all facility staff/new hires receive emergency plan training 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 persons records did not contain the required CPSL hiring documents. (#1- hired 2/1/17-no proof of request for STATE POLICE, CHILD ABUSE and FBI prior to working with children, no mandated reporter training) (#2-hired 2/4/17- hired 2/1/17-no proof of request for STATE POLICE, CHILD ABUSE and FBI prior to working with children, no mandated reporter training) (#5-hired 8/25/16-no proof of request for CHILD ABUSE prior to working with children)(#7-hired 5/7/17-no proof of request for FBI) (#9-no proof of requests for FBI, STATE POLICE and CHILD ABUSE; no signed DISCLOSURE STATEMENT)

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 #7 cannot work in a child care position at the facility unti the required CPSL documents have been completed and submitted. Revise and submit written policies and procedures regarding CPSL hiring requirements to ensure that all new hires have the required CPSL clearance documentation prior to working with children and mandated reporter training completed no more than 90 days after date of hire to ensure ongoing compliance with the CPSL.The facility director and administrative staff must obtain DHS approved training in the CSPL hiring requirements. Submit written verification of the completed training.

Noncompliance Area: Two staff person's records did not contain written verification of experience for their primary staff position. (#1 and #2). Documents reviewed on 10/24/17 did not include verification of education for both staff persons.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with childrenA 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/or experience for the indicated staff person.

Noncompliance Area: One staff person's record did not contain written verification of education and/or experience for their secondary staff position. (#7)

Correction Required: A secondary staff person shall have obtained a high school diploma or a general educational development certificateA 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/or experience for the indicated staff person.

Noncompliance Area: A can of Lysol cleaning soulution was observed within reach of children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Remove the can of Lysol and ensure that all cleaning materials are kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: There was no written record of fire drills completed between 9/9/16 and 5/18/17.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Revise and submit written fire drill policies to ensure that fire drills are completed 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.