The Essence Of Childcare

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During a renewal inspection conducted on 12/05/25, the Certification Representative reviewed Staff's #1, and Staff' #2 content of records. Staff

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the Renewal Inspection, the provider stated that she did not have a written policy that addresses Shaken Baby Syndrome, along with recognition of potential signs/symptom, strategies for coping and prevention of child maltreatment.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff member number 2 did not have TB test results and read date on file during the Renewal Inspection.

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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Continued Noncompliance from Renewal Inspection: The provider's emergency plan did not provide 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(a)(6)

Description: Emergency plan

Noncompliance Area: Continued Noncompliance from Renewal Inspection: The provider did not have an emergency drill log on file at facility during the Renewal Inspection.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Continued Noncompliance from Renewal Inspection: The operator did not have written documentation stating that emergency plan was delivered to county emergency management agency

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Disclosure statement was absent from file for staff members numbers 2 and 4. State Police clearance not on file for staff members 1.

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 Persons 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.

Regulation: 3270.113(a)(2)

Description: Supervision on and facility premises

Noncompliance Area: During the unannounced visit, 2 staff members were alone with 22 mixed - age children ranging from infancy to Young School Age.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: Staff member # 2 did not have a file at the facility.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff member #1 did not have a current State Police Clearance on file. Expired clearance is dated 6/11/2019.

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 # 1 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On the day of visit Staff#1, Staff#2 and Staff#3 did not have a current emergency plan training in the file.

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(e)(4)(i)/3270.31(f)(10)

Description: Age and Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: On the day observing the files staff#1 and staff#2 did not have a current first aid and CPR training in the files.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

Description: Fire safety - 1 yr.

Noncompliance Area: On the day observing the files Staff#1, Staff#2, and Staff#3 did not have a current fire safety training in the files.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Observed staff 1 file without updated health assessment.

Correction Required: 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(4)

Description: CPSL information

Noncompliance Area: Observed staff 1 file with an expired child abuse and FBI clearance.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Observed refrigerator with no thermometer.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed Childs cup with no label.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Observed facility with no insurance.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Observed fire extinguishers not maintained since January of 2020. Also the fire inspection was out dated.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Noncompliance Area: DURING THE MONITORING INSPECTION STAFF #1 ACKNOWLEDGED THERE WAS NO WRITTEN NOTIFICATION OF POLICIES GIVEM TO PARENTS AT THE TIME OF ENROLLMENT. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF CHILD 1, CHILD 2, CHILD 3, AND CHILD 4 CONTAINED THE ORIGNIAL AGREEMENT. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: DURING THE MONITORING INSPECTION THE PROVIDER DID NOT HAVE A WRITTEN FEEDING SCHEDULE FROM THE PARENTS OF ANY INFANTS IN CARE. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WERE CRACKED FLOOR TILES IN THE INFANT ROOM BY THE SIDE DOOR EXIT. THERE WERE BROKEN TILES IN THE BATHROOM LOCATED IN THE LEARNING CENTER. THERE WERE CRACKED TILES IN THE LEARNING CENTER ON THE FLOOR NEAR THE KITCHEN AREA. THE BASEBOARD WAS UNATTACHED IN THE ACTIVITY ROOM. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS PEELING PAINT IN THE INFANT ROOM ON THE THREE QUARTER WALL BETWEEN THE INFANT ROOM AND THE ACTIVITY ROOM. THERE WAS PEELING PAINT ON WALLS LOCATED IN THE ACTIVITY ROOM. THIS IS CONTINUED NON-COMPLIANCE.

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 THE MONITORING INSPECTION THE SINK MOUNTED TO THE WALL WAS LOOSE IN THE BATHROOM BEHIND THE OFFICE. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE PLASTIC BAGS ACCESSIBLE TO CHILDREN IN A CABINET UNDER THE SINK AND HANGING FROM A WALL FIXTURE IN THE BATHROOM LOCATED IN THE LEARNING CENTER. THERE WERE PLASTIC BAGS ON THE LOWER SHELF OF A STORAGE RACK IN THE INFANT ROOM.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: DURING THE RENWAL INSPECTION THERE WAS A STORAGE SHELF WITH BINS LOCATED IN THE LEARNING CENTER THAT WAS UNSTABLE.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: DURING THE RENEWAL INSPECTION STAFF #5 ACKNOWLEDGED THERE WAS NO WRITTEN NOTIFICATION OF POLICIES GIVEM TO PARENTS AT THE TIME OF ENROLLMENT.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1, CHILD 2, CHILD 3, CHILD 4, AND CHILD 5 CONTAINED THE ORIGNIAL AGREEMENT.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 2 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 THE RENWAL INSPECTION THE PROVIDER DID NOT HAVE A WRITTEN FEEDING SCHEDULE FROM THE PARENTS OF ANY INFANTS IN CARE.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1, STAFF 2 AND STAFF 3 DID NOT CONTAIN 2 WRITTEN, NON-FAMILY REFERENCES ATTESTING TO SUITABILITY TO WORK AS A FACILITY PERSON IN CHILD CARE.

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 THE RENEWAL INSPECTION THE FILE OF STAFF 2 (AGS -- HS DIPLOMA & 2 YRS EXP) AND STAFF 3 (AGS -- HS DIPLOMA & 2 YRS EXP) DID NOT INCLUDE VERIFICTION OF EXPERIENCE.

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: DURING THE RENEWAL INSPECTION THE FIRST AID KITS IN THE LEARNING CENTER AND THE ACTIVITY ROOM DID NOT HAVE GUAZE IN THEM.

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: DURING THE RENEWAL INSPECTION AN AREA OF THE FLOOR NEAR THE INFANT ROOM WAS UNFINISHED AND NOT IN GOOD REPAIR. THERE WERE CRACKED FLOOR TILES IN THE INFANT ROOM BY THE SIDE DOOR EXIT. THERE WAS A RUG IN THE INFANT ROOM THAT WAS EXCESSIVELY DIRTY AND STAINED. THERE WERE BROKEN TILES IN THE BATHROOM LOCATED IN THE LEARNING CENTER. THERE WERE CRACKED TILES IN THE LEARNING CENTER ON THE FLOOR NEAR THE KITCHEN AREA. THE BASEBOARD WAS UNATTACHED IN THE ACTIVITY ROOM. THE STAIRS LEADING FROM THE ACTIVITY ROOM TO THE LEARNING CENTER WERE UNFINISHED. THERE WAS A PUDDLE OF RAIN WATER IN THE REAR EXIT WALKWAY NEAR THE KITCHEN DUE TO A LEAK.

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 THE RENEWAL INSPECTION THERE WAS PEELING PAINT IN THE INFANT ROOM ON THE THREE QUARTER WALL BETWEEN THE INFANT ROOM AND THE ACTIVITY ROOM. THERE WAS PEELING PAINT ON WALLS LOCATED IN THE ACTIVITY ROOM.

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 THE RENEWAL INSPECTION THE SINK MOUNTED TO THE WALL WAS LOOSE IN THE BATHROOM BEHIND THE OFFICE.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE BATHROOM LOCATED BEHIND THE OFFICE DID NOT HAVE A LIDDED TRASH CAN.

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 THE RENEWAL INSPECTION A SOURCE OF RUNNING WATER WAS NOT PRESENT NEAR THE DIAPER CHANGING AREA IN THE INFANT ROOM.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: During the renewal inspection on 5/24/18, the health assessment for Staff #4, dated 1/20/16, was no longer valid with no subsequent assessments 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.

Noncompliance Area: During the renewal inspection on 5/24/18, the current provisional certificate of compliance was not posted.

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: During the renewal inspection on 5/24/18, Staff #1, #2, #3 and #5 had not been trained regarding the emergency plan at the time of initial employment.

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 the renewal inspection on 5/24/18, upon inspector's arrival, Staff #3 was alone in the building with 4 children.

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.

Noncompliance Area: During the inspection on 4/12/18, ratio was not in compliance in Side 1 Preschool where Staff 1 was providing childcare for 11 children ages 4 to 5. Continued non-compliance from SIN-00122001.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. . The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3270.51--3270.55.

Noncompliance Area: During the inspection on 2/22/18, Staff #1 left the classroom, leaving the children alone and unsupervised in Preschool Side 1.

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

Noncompliance Area: During the renewal inspection on 12/7/17, the emergency contact for Child #1 did not include health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits,

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 the renewal inspection on 12/7/17, the emergency contact for Child # 1 and Child # 3 did not include the release person's address and/or telephone number.

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 the renewal inspection on 12/7/17, the emergency contacts were not present in the child care space for Child # 1 and Child #4.

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.

Noncompliance Area: During the renewal inspection on 12/7/17, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not displayed conspicuously in the First Side Rear Preschool Room, the Second Side Front nor Second Side Rear classrooms.

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: During the renewal inspection on 12/7/17, Staff #4 used hand sanitizer, after diaper change, instead of washing own hands and hands of Child #2.

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

Noncompliance Area: During the renewal inspection on 12/7/17, the file for Staff #3 contained a health assessment, dated 12/9/14, which was not updated within 24 months and is no longer valid.

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 the renewal inspection on 12/7/17, the operator had not notified local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: During the renewal inspection on 12/7/17, safe pedestrian crossways, pick-up and drop-off points and bike routes were not determined nor communicated to the children and parents in writing; written notification of safe routes were not posted at a conspicuous location in the child care facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: During the renewal inspection on 12/7/17, the files for Staff #1, Staff #2 and Staff #4 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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 the renewal inspection on 12/7/17, a copy of the applicable regulations under which the facility is certified were 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.

Noncompliance Area: During the renewal inspection on 12/7/17, a copy of the 10/12/17 inspection summary issued by the Department was not posted in a location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: During the renewal inspection on 12/7/17, the files for Staff #1 and Staff #4 did not contain verification of child care experience and /or education to qualify for the position performing.

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 following the outset of service at the facility.

Noncompliance Area: During the renewal inspection on 12/7/17, a protective receptacle cover was missing in the electrical outlet in the bathroom on the second side.

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

Noncompliance Area: During the renewal inspection on 12/7/17, two cans of disinfectant spray and one hand sanitizer were accessible to children on the half wall of the first side rear classroom; hand sanitizer was used on Child #2, on the second side front classroom, without written parental consent on file.

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: During the renewal inspection on 12/7/17, the rear exit on second side was obstructed with boxes, mops, buckets and crates blocking egress.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: During the unannounced visit on 10/12/17, Staff #1 let Child #2 go to the bathroom alone while Staff #1 remained seated at table with the other 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.

Noncompliance Area: During the unannounced visit on 10/12/17, Staff #4 stated that Child #1 was running with a blanket between his legs and fell hitting his mouth on his cup on 9/28/17 at 6:47am. No incident report was completed at the time of incident or thereafter.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: Unannounced visit on 10/12/17, while conducting facility walk-through ratios were not in compliance in Classroom 2 where Staff #2 and #3 were providing childcare for 15 children ages one through three. At lunchtime, Staff #2, #3 and #4 were in Classroom 2 with 13 children ages one and two; Staff #2 left to serve lunch to children in Classroom 1 leaving Classroom 2 out of ratio.

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.

Noncompliance Area: During the unannounced visit on 10/12/17, the director indicated that Child #1 fell at 6:47 am during an incident on 9/28/17 when Staff #1 was alone in the facility with Child #1 and Child #3.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 1/9/17, STAFF #5 WAS MISSING ONE REFERENCE LETTER.

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 THE RENEWAL INSPECTION ON 1/9/17, STAFF 4 AND 5 WERE MISSING DOCUMENTS IN THEIR FILE. STAFF #4 WAS MISSING FBI AND MANDATED REPORTER. STAFF #5 WAS MISSING MANDATED REPORTER TRAINING.

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 #4,5 -- may not work in a child care position at the facility.