The Creation Station Daycare

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During a renewal inspection conducted on 2/26/26, Certification Representative observed that there was no Cot chart in 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: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: During a renewal inspection conducted on 2/26/26, the facility had 2 children in care and 1 staff person onsite.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During an initial inspection conducted on 11/5/2025, 2 staff files were reviewed. Staff person # 2 is a assistant group supervisor at the facility. Staff person #2 file did not contain verification of a completed course for Health and safety topics.

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

Regulation: 3270.34(b)(3)/3270.192(2)(ii)

Description: Associate's + 3 yrs/Exp, educ., training prior to facility

Noncompliance Area: During an initial inspection conducted on 11/5/2025, 2 staff files were reviewed. Staff person # 1 is the director of the facility. Staff person # 1 file did not contain verification of 3 years of experience with children.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of 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: 3270.36(b)(5)/3270.192(2)(ii)

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

Noncompliance Area: During an initial inspection conducted on 11/5/2025, 2 staff files were reviewed. Staff person # 2 is a assistant group supervisor at the facility. Staff person #2 file did not contain verification of 2 years of experience with children.

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.

Noncompliance Area: During renewal inspection on 2/10/2020, while reviewing children's files, Child # 1 whose enrollment date 8/15/19 did not have policy number listed on the emergency contact

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 2/10/2020, while reviewing children's files - Child # 4 whose enrollment date 7/1/19 did not have an initial health assessment in file - Child # 5 whose enrollment date 5/30/19 did not have an initial health assessment in file

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 2/10/2020, while reviewing children's files - Child # 1 whose enrollment date 8/15/19 had a health assessment completed 4/24/19 but did not have a child health report in file - Child # 3 whose enrollment date 12/9/19 health assessment was dated 8/16/18

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

Noncompliance Area: During renewal inspection on 2/10/2020, while reviewing children's files -Child # 2's emergency contact did not have consent for administering of minor first aid -Child # 4's emergency contact did not have consent for consent for emergency medical care and consent for administering minor first aid

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

Noncompliance Area: During renewal inspection on 2/10/2020, while reviewing staff files -Staff # 2 whose hire date 9/25/19 did not have 2 written nonfamily references in file -Staff # 8 whose hire date 5/24/19 did not have 2 written non family references in file

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: During renewal inspection on 2/10/2020, the baseboard on left side of toddler room was peeling from the wall

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 2/4/19, while doing a walk through, Cert Rep observed 2 children in the preschool room ( 3-5 years old) getting lunches form their cubbies that were not refrigerated ( lunches included lunch meat)

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.Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: During renewal inspection on 2/4/19, while reviewing children's files, Cert Rep observed the following -Child # 1 - 4 did not have a child service report in file since enrollment - Child # 2's agreement did not include services provided

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

Noncompliance Area: During renewal inspection on 2/4/19, while reviewing children's files, Child # 1 was copied unto her sibling agreement wit the wrong enrollment dates and information not pertaining to Child # 1. Child # 1 did not have an individual agreement

Correction Required: An agreement shall be signed by the operator and the parent.An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: During renewal inspection on 2/4/19, while reviewing children's file Child # 1, and Child # 2 did not have initial or current health assessment in file.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 2/4/19, while reviewing children's file Child # 4 did not have initial or current health assessment in file.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection 2/4/19, facility Director had December menu posted in the facility

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: During renewal inspection on 2/4/19, while reviewing staff files, Staff # 6 whose hire date 11/30/18 did not have 2 non family references in file

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: During renewal inspection on 2/4/19, Staff # 6 did not know the evacuation relocation site when asked by Cert Rep

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: During renewal inspection on 2/4/19, while reviewing staff files, Cert Rep observed the following - Staff # 1 had a receipt in file for State Police Clearance dated 12/14/15 - Staff # 5 whose hire date 8/25/18 did not have documentation of FBI in file. Receipt is dated 1/6/19

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 2/4/19, while reviewing staff files, Cert Rep observed the following - Staff # 5 whose hire date 8/25/18 did not have documentation of 2 years of experience to qualify as an AGS - Staff # 6 whose hire date 11/30/18 did not have documentation of 2 years of experience to qualify as an AGS

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.

Noncompliance Area: During renewal inspection on 2/4/19, while doing a walk through of the facility, Cert Rep observed a unmarked bottle of cleaning solution in the preschool room. ( 3-5 yrs old)

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

Noncompliance Area: During renewal inspection on 2/4/19, while doing a walk through of the facility indoor and outdoor,z cert Rep observed the following - Peeling Paint in the After-school room, preschool room, older toddler room, infant room, and in the hallway of the outside of the toddler and infant room -Caulking in the bathroom near sink was peeling away - Debri and bottle in outdoor play yard

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.

Noncompliance Area: ON 3/28/18, DURING UNANNOUNCED INSPECTION, AT APPROXIMATELY 2:35PM A SCHOOL AGE CHILD WAS OBSERVED WALKING DOWN THE HALLWAY AFTER USING THE RESTROOM UNSUPERVISED BY A STAFF PERSON. (CONTINUED NON COMPLIANCE FROM INSPECTION CONDUCTED ON 1/30/18)

Correction Required: Children must be supervised at all times. 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.

Noncompliance Area: ON 3/28/18, DURING UNANNOUNCED INSPECTION, UPDATED HEALTH ASSESSMENT WAS NOT OBSERVED IN THE FILES BELONGING TO STAFF #1 (LAST HEALTH UPDATE DATED 1/19/15) AND STAFF #2 (LAST UPDATE DATED 4/10/15). ADDITIONALLY, UPDATED HEALTH ASSESSMENT AND RESULTS OF TB TEST WERE NOT OBSERVED IN THE FILE BELONGING TO STAFF #3 (LAST UPDATE WAS DATED 2/12/15). (CONTINUED NON COMPLIANCE FROM RENEWAL DATED 1/30/18.)

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: ON 3/28/18, DURING UNANNOUNCED INSPECTION, AT APPROXIMATELY 2:50PM, STAFF #3 WAS OBSERVED OUT OF RATIO WITH 18 CHILDREN DURING NAP TIME WHILE STAFF #4 LEFT THE CLASSROOM TO USE THE RESTROOM. THE YOUNGEST CHILDREN WERE OLDER TODDLERS. (CONTINUED NON COMPLIANCE FROM INSPECTION CONDUCTED ON 1/30/18).

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children

Noncompliance Area: ON 1/30/18, A WHITE BASKET CONTAINING TOYS LOCATED IN ROOM 3 WAS CRACKED. A BOOKSHELF LOCATED IN THE SCHOOL AGE ROOM WAS OBSERVED ON TOP OF TWO TIER MILK CRATES. THE BOOKSHELF WAS NOT SECURED CAUSING A SAFETY HAZARD.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: ON 1/30/18, A T-SHAPED SAFETY STRAP WAS NOT OBSERVED ON THE WHITE HIGH CHAIR LOCATED IN THE INFANT ROOM.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: ON 1/30/18, CHILD #1 (DOB 5/29/17) WAS OBSERVED ASLEEP IN A ROCK N PLAY SLEEPER PREVENTING THE INFANT FROM SLEEPING IN A POSTION RECOMMENDED BY THE AAP. SIGNED DOCUMENTATION FROM A PHYSICIAN NOTING A MEDICAL REASON FOR SLEEPING IN A POSITION OTHER THAN AAP RECOMMENDATION FOR SAFE SLEEP WAS NOT ON FILE AT THE FACILITY. ADDITIONALLY, THREE PACK N PLAYS LOCATED IN THE INFANT ROOM CONTAINED HOLES AND WERE IN DISREPAIR.

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.

Noncompliance Area: ON 1/30/18, AT APPROX 11:00 AM, STAFF #4 WAS OBSERVED WITH 7 CHILDREN IN THE BATHROOM. STAFF #4 INSTRUCTED FIVE CHILDREN TO LEAVE THE BATHROOM UNSUPERVISED AND RETURN TO THE CLASSROOM. THE FIVE CHILDREN WERE OBSERVED RUNNING AROUND THE CORNER AND DOWN THE HALL TO THE CLASSROOM (ROOM 3). STAFF #4 REMAINED IN THE BATHROOM WITH 2 CHILDREN TO CHANGE DIAPERS. FIVE MINUTES LATER, AN OLDER TODDLER WAS OBSERVED LEAVING THE BATHROOM UNSUPERVISED AND WALKING TO THE CLASSROOM LOCATED AROUND THE CORNER AND DOWN THE HALL. STAFF #4 WAS WASHING HER OWN HANDS WHEN THE CHILD LEFT THE BATHROOM. STAFF #4 REMAINED IN THE BATHROOM WITH ONE CHILD. THE HALLWAY LEADS TO AN EXIT DOOR THAT IS ACCESSIBLE TO CHILDREN.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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.

Noncompliance Area: ON 1/30/18, AN EPIPEN OBSERVED IN ROOM 3 DID NOT CONTAIN THE ORIGINAL CONTAINER IN WHICH IT WAS RECEIVED AND DID NOT CONTAIN A PERSCRIPTION WITH THE CHILD'S NAME.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: ON 1/30/18, UPDATED HEALTH ASSESSMENTS WERE NOT OBSERVED IN THE FILES BELONGING TO STAFF #1 (LAST UPDATE DATED 4/14/14), STAFF #3 (LAST UPDATE DATED 1/9/15), STAFF #4 (LAST UPDATE DATED 2/12/15), AND STAFF #6 (LAST UPDATE DATED 4/10/15). ADDITIONALLY, AN INITIAL HEALTH ASSESSMENT INCLUDING TB TEST RESULTS WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #5 (HIRED 5/24/16). ADDITIONALLY, THE DATE OF TB TEST RESULTS WERE NOT OBSERVED IN THE FILE BELONGING TO STAFF #2 AND STAFF #4.

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: ON 1/30/18, VERIFICATION OF EDUCATION WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #5 IN ORDER TO QUALIFY AS AN AGS.

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

Noncompliance Area: ON 1/30/18, TWO LETTERS OF WRITTEN REFRENCES WERE NOT OBSERVED IN THE FILES BELONGING TO STAFF #5 (HIRED 5/24/16).

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: ON 1/30/18, EVIDENCE OF AN ANNUAL UPDATE TO THE FACILITY'S EMERGENCY PLAN WAS NOT OBSERVED ON FILE AT THE FACILITY. ADDITIONALLY, EMERGENCY PLAN TRAINING AT INITIAL TIME OF HIRE WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #2 (HIRED 3/30/17).

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 and kept on file at the facility.

Noncompliance Area: ON 1/30/18, THE FILE BELONGING TO STAFF #5 (HIRED 5/24/16) DID NOT CONTAIN CHILD ABUSE AND FBI CLEARANCES. ADDITIONALLY, THE FILE BELONGING TO STAFF #2 (HIRED 3/30/17) DID NOT CONTAIN MANDATED CHILD ABUSE REPORTER TRAINING REQUIRED BY CPSL.

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

Noncompliance Area: ON 1/30/18, STAFF #3 AND STAFF #4 WERE OBSERVED OUT OF RATIO IN ROOM 3 WITH 13 CHILDREN (THE YOUNGEST CHILD WAS 2 YRS OLD). ADDITIONALLY, STAFF #4 WAS OBSERVED OUT OF RATIO IN THE BATHROOM WITH 7 CHILDREN (YOUNGEST OLDER TODDLER). STAFF #3 WAS OBSERVED OUT OF RATIO WITH 12 CHILDREN WHILE STAFF #4 CHANGED DIAPERS. STAFF #3 WAS OBSERVED OUT OF RATIO WITH 13 CHILDREN WHILE STAFF #4 ANSWERED THE FRONT DOOR.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times..

Noncompliance Area: ON 1/30/18, CHALKBOARD PAINT WAS OBSERVED ON A TABLE ACCESSIBLE TO CHILDREN IN THE PRESCHOOL ROOM. THE LABEL DID NOT INDICATE THAT THE PAINT WAS NON-TOXIC.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Arts and crafts materials shall be nontoxic.

Noncompliance Area: ON 1/30/18, THE WALLS LOCATED IN THE FRONT SCHOOL AGE ROOM AND THE WALLS LOCATED IN THE HALLWAY LEADING BACK TO THE BATHROOM WERE DIRTY AND IN POOR REPAIR.

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: ON 1/30/18, LIDDED WATE RECEPTACLES WERE NOT OBSERVED IN THE BATHROOM LOCATED IN THE HALLWAY AND AT THE CHANGING TABLE LOCATED IN THE INFANT ROOM.

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

Noncompliance Area: The written plan of daily activities was not posted in the preschool classroom.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Preschool children were observed traveling to the restroom alone.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Noncompliance Area: The agreement for child #1, 4 and 6 did not the child`s arrival and departure times.

Correction Required: An agreement shall specify the child`s arrival and departure times.

Noncompliance Area: The agreement for child #1, 5 and 6 did not the child's admission date.

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

Noncompliance Area: The emergency contact information for child #1, 3 and 4 did not include the name, address and/or telephone number of the child`s physician.

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

Noncompliance Area: The emergency contact information for child #2, 4, 5 and 6 did not include the parent's work address and/ or phone number.

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

Noncompliance Area: The emergency contact information for child #5 and 6 did not include the health insurance coverage and/or policy number for the child.

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

Noncompliance Area: The emergency contact information for child #2, 3 and 5 did not include the address and/ or phone number of an 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: Child #4 did not have an updated health assessment in their record; last health assessment was dated 2/5/16.

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: Medication observed in the medicine bin at the facility for child #7 was not in it's original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: Healing ointment cream observed in the medicine bin at the facility for child #8 was not labeled with the child's name.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Medicine observed in the medicine bin at the facility for child #7 expired 09/2016 and for child #8 expired 08/2016.

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

Noncompliance Area: Medicine observed in the medicine bin at the facility for child #8 did not have written parental consent for administration.

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

Noncompliance Area: The infant room teachers did not have documentation of children's diaper checks/changes.

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: Staff person #6, hired 3/3017, did not have a health assessment 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.

Noncompliance Area: Staff person #6 did not have documentation of a TB screeneing in their record.

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

Noncompliance Area: A review of the emergency contact information and/or the financial agreement for child #2-6 occurred with parents after the required 6 month period.

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

Noncompliance Area: The emergency contact information for child #3 and 6 did not include signed parental consent for emergency medical care

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.

Noncompliance Area: The emergency contact information for child #3 and 6 did not include signed parental consent for administration of minor first-aid.

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

Noncompliance Area: The emergency contact information for child #3 and 6 did not include signed parental consent for transportation and walking excursions.

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

Noncompliance Area: Staff person #6, who the operator is qualifying as an assistant group supervisor, did not have verification of their educational level in their record.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person #6 did not have written references in their record.

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

Noncompliance Area: The operator did not have the regulations (Chapter 3270) displayed in a conspicuous 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.

Noncompliance Area: Certerfication rep observed an old disclosure statement in the records of staff persons #1-5 instead of the updated revised version, as required by CPSL.

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

Noncompliance Area: Certification rep observed an automatic sensored hand sanitizer dispenser on the wall in the preschool classroom accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The first aid kit in the preschool room was missing gauze pads. The kit in the toddler room was missing tape. The kit in the infant room was missing scissors.

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.

Noncompliance Area: The first aid kit the facility uses for excursions was missing a bottled water and gloves.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: The rugs in the preschool and infant classrooms were observed dirty

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: Peeling paint was observed on the wall in the infant room.

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