The Childrens Place Preschool

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: During a renewal inspection conducted on 1/30/2025, 5 child files were reviewed. Child # 1,2,3,4 and 5 files contained fee agreements that did not specify services that are considered as extra, if services are offered.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection conducted on 1/30/2025, 5 child files were reviewed. Child # 1,2,3,4 and 5 files contained emergency contact forms that did not include the enrolling parent employment contact information.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on1/30/2025, 5 child files were reviewed. Child# 4 and 5 files contained emergency contact forms that did not contain the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 10/24/24 it was determined that there was a lack of supervision by staff person #1 and staff person #2 during outside play.

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.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 02/08/24 the file reviewed for staff person #1 contained an expired First Aid/CPR certification dated 06/04/21.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 02/08/24 the file reviewed for staff person #2 hired (see code sheet) did not contain an updated Department of Human Services approved FBI clearance. FBI clearance reviewed in file was from the Department of Education. DHS FBI clearance in file dated 09/13/18 which is more than 60 months old. There is no application in the file for an updated DHS FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a childcare position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A child was injured (bruised on forehead and eye) due to lack in supervision by staff person #1 and #2 in the play yard.

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.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: At time of inspection, staff person #1 did not have initial health assessment within the 12 months prior to providing initial service documented in their record.

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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: At time of inspection, staff person # 1 did not have an initial negative TB screening that meets the requirements at time of hire.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At time of inspection, staff person #1 did not have two non-family references documented in their records as required per regulations.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At time of inspection, recently hired staff person # 1 did not have training regarding the facility emergency plan documented in their record.

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.

Regulation: 3270.31(b)/3270.192(2)(i)

Description: Staff person - 18 yrs./Age

Noncompliance Area: At time of inspection, staff persons #1 and #2 did not have proof of age documented in their records.

Correction Required: A staff person shall be 18 years of age or older. A facility person's record shall include verification of age.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At time of inspection, staff person #2 did not have proof of education and staff person #3 did not have proof of experience to help qualify them for their positions as Assistant Group Supervisors at facility.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there were no labels on the rest equipment throughout the facility.

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.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and the agreement forms for child #1, child #2, child #3, child #4 and child #5 didn't include release persons.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and the file for child #2 doesn't include their health insurance policy number 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and the emergency contact forms for child #2,child #3, child #4 and child #5 didn't have an address for the release person.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and the policy for Shaken Baby Syndrome and Child Maltreatment did not address child maltreatment per Announcement C-22-03 that was issued on January 24,2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 6 staff files and the file for staff #3 did not include a verification of experience.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 6 staff files and the files for staff #2 shows that they lived in NJ within the last 5 yrs and there were no NJ clearances in their files

Correction Required: 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 #--- may not work in a child care position at the facility.

Regulation: 3270.27(a)(1)/3270.27(a)(2)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of a lock down, shelter in place, and evacuation

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan was not updated to include continuity of operations or specific staff duties and continuity of operations per announcement c-22-04,issued 4/19/22.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection, certification representative reviewed 6 staff files and there was no staff evaluation for staff #1.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there was chipped paint throughout in the following areas: grass room on the purple wall near the white couch.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND UPON ENTERING THE ORANGE ROOM THERE WAS A CHILD UNATTENDED IN THE BATHROOM.

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.

Regulation: 3270.166(6)

Description: Infant/toddler - no bottle in mouth to sleep

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND IN THE INFANT ROOM CHILD #1 HAD A SIPPY CUP WHILE LAYING DOWN IN THE CRIB.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 7 STAFF FILES AND THE FILES OF STAFF #2 WAS MISSING THE NSOR CLEARANCE AND STAFF#1 WAS MISSING THEIR FBI CLEARANCE THAT IS REQUIRED BY CPSL.

Correction Required: 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 and Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 7 STAFF FILES AND THE FILE FOR STAFF #4 DID NOT CONTAIN THE 10HR HEALTH AND SAFETY TRAINING.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During the initial inspection the certification rep reviewed the facilities emergency plan. The plan did not include an "lock-down" procedure. "Implemented on site"

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During an initial inspection the certification rep took the temperature of the water. The temperature read 115 F. "implemented on site"

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE AGREEMENT OF CHILD #1 WAS NOT SIGNED BY THE OPERATOR.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE AGREEMENTS OF CHILDREN #1 AND #2 DID NOT SPECIFY THE AMOUNT OF THE FEE TO BE CHARGED PER DAY OR PER WEEK.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILD #2 DID NOT INCLUDE THE HEALTH INSURANCE COVERAGE OR POLICY NUMBER FOR A CHILD UNDER FAMILY POLICY OR MEDICAL ASSISTANCE BENEFITS, IF APPLICABLE.

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: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILDREN #2 AND #3 DID NOT INCLUDE THE ADDRESS OF THE INDIVIDUAL DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE IMMUNIZATION RECORD OF CHILD #4 DID NOT INDICATE THAT THE CHILD HAD RECEIVED AN INFLUENZA VACCINE, AS RECOMMENDED BY THE ACIP, AND DID NOT CONTAIN AN EXEMPTION FROM IMMUNIZATION LETTER FROM THE PARENT OR PHYSICIAN.

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.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE RECORD OF CHILD #1 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR WALKING EXCURSIONS (FACILITY STATES THEY DO NOT PARTICIPATE IN SWIMMING OR WADING).

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE RECORD OF STAFF #1 (HIRED 10-22-19) CONTAINED A VOLUNTEER STATE POLICE CLEARANCE, AND THE RECORD OF STAFF #2 (HIRED 4-21-19) DID NOT CONTAIN AN ACCEPTABLE STATE POLICE CLEARANCE, AND CONTAINED AN FBI CLEARANCE OBTAINED THROUGH THE DEPARTMENT OF EDUCATION.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, CERTIFICATION REP OBSERVED 5 ELECTRICAL OUTLETS UNCOVERED ON AN ELECTRICAL STRIP UNDER THE DESK IN THE PRESCHOOL 4 ROOM.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, CERTIFICATION REPRESENTATIVE OBSERVED A HOLE IN THE WALL IN THE PRESCHOOL 3 ROOM.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, CERTIFICATION REP OBSERVED CHIPPED PAINT IN THE PRESCHOOL 4 ROOM AND THE SCHOOL-AGE CLASSROOM.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, THE BATHROOM IN THE PRESCHOOL 4 ROOM WAS NOT EQUIPPED WITH A LIDDED WASTE RECEPTACLE.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 20, 2019, CERTIFICATION REPRESENTATIVE OBSERVED A FIXED SPACE HEATER IN THE PRESCHOOL 4 ROOM. PROVIDER WAS NOT ABLE TO PROVIDE WRITTEN APPROVAL OF THE INSTALLATION, AND DID NOT HAVE WRITTEN APPROVAL ON FILE AT THE FACILITY.

Correction Required: A fixed space heater shall be approved for use by a local firesafety professional. Written approval of the installation and written approval for use shall be on file at the facility.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON JUNE 19, 2019, CERTIFICATION REPRESENTATIVE OBSERVED AN INFANT IN A FISHER PRICE ROCK N' PLAY, WHICH WAS RECALLED BY THE CONSUMER PRODUCT SAFETY COMMISSION ON 4-12-19.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON JUNE 19, 2019, CERTIFICATION REPRESENTATIVE CONFIRMED THAT THE FACILITY HAD CALLED THE CHILD'S FAMILY MEMBERS TO COME AND CHANGE THE CHILD'S DIAPER AFTER KNOWING THAT IT WAS SOILED, RATHER THAN A STAFF PERSON CHANGING THE CHILD'S DIAPER.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 3, 2018, ALL 5 AGREEMENTS REVIEWED DID NOT SPECIFY THE AMOUNT OF THE FEE TO BE CHARGED PER DAY OR PER WEEK, OR THE PERSONS DESIGNATED BY A PARENT TO WHOM THE CHILD MAY BE RELEASED.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 3, 2018, THE EMERGENCY CONTACT INFORMATION OF CHILD #4 DID NOT INCLUDE THE ADDRESS OF THE INIDIVIDUAL DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 3, 2018, THE YOUNG TODDLER ROOM DID NOT HAVE WRITTEN MEDICATION INFORMATION FOR MEDICATION IN THE CABINET BELONGING TO CHILD #6.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 3, 2018, THE RECORD OF STAFF #1 DID NOT CONTAIN A HEALTH ASSESSMENT CONDUCTED WITHIN 24 MONTHS OF THE PREVIOUS HEALTH ASSESSMENT (HEALTH ASSESSMENT ON FILE WAS DATED 5-13-16).

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 3, 2018, THE TEMPERATURE IN THE PRESCHOOL ROOM WAS READING AT 60 F.

Correction Required: The indoor temperature shall be at least 65 F.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 3, 2018, THE FIXED SPACE HEATERS IN THE INFANT ROOM/FEEDING AREA WERE NOT INSULATED TO PREVENT DIRECT CONTACT AND MEASURED AT A TEMPERATURE OF 123 F.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.A fixed space heater shall be insulated or equipped with protective guards.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 3, 2018, THE FIXED SPACE HEATER IN THE PROVIDER WAS UNABLE TO PROVIDE WRITTEN DOCUMENTATION THAT THE FIXED SPACE HEATERS IN THE FACILITY WERE APPROVED FOR USE BY A LOCAL FIRE SAFETY PROFESSIONAL.

Correction Required: A fixed space heater shall be approved for use by a local firesafety professional. Written approval of the installation and written approval for use shall be on file at the facility.

Noncompliance Area: DURING UNANNOUNCED VISIT ON 6/20/18, STAFF PERSON #3 WAS OBSERVED ON 6/12/18, LEAVING A CHILD IN THE NAP ROOM UNSUPERVISED, FROM APPROXIMATELY 8:05-8:45.

Correction Required: THE LEGAL ENTITY MUST ARRANGE FOR ALL FACILITY STAFF TO RECEIVE A MINIMUM OF TWO HOURS OF TRAINING REGARDING SUPERVISION OF CHILDREN THROUGH THE REGIONAL KEY. THE SOUTHEAST REGIONAL OFFICE WILL MAKE THE REFERRAL TO THE REGIONAL KEY.

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/20/18, IT WAS OBSERVED THAT ON 6/12/18, SEVERAL CLASSROOMS DID NOT HAVE THE CHILDREN WASH THEIR HANDS BEFORE EATING BREAKFAST.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/20/18, STAFF PERSON #1 WAS OBSERVED ON 6/12/18, WITH 12 PRE SCHOOL CHILDREN WHILE STAFF PERSON #2 ENTERED THE KITCHEN AREA

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.