The Learning Lamp Westmont

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed a foam hexagon block with teeth marks.

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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 lacked an initial health assessment die to the fact the document on file was the first page of a school physical completed and signed by the parent, not a medical professional.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation the emergency plan was delivered to the local municipality, Westmont Borough.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a triangular wooden block with splinters.

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.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed 2 trash cans with human secretions or excrement not lidded.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1/17/24 observed a cracked orange square Magna Tile in the Preschool Room.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 1/17/24 observed a foam triangle and foam circle with bite marks in the Preschool 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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 1/17/24 observed a cubby beside a bookcase on the wall perpendicular to the bathrooms in the Extended Day Room which was not anchored creating a potential tipping hazard.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreements of Children #1 and #4 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.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for Child #4 did not specify the child's arrival and departure times.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for Child #3 did not include the complete address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact for Child #4 did not include written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #3 did not include health insurance policy number for a child under a 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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a health report dated 12/12/22.

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.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health report of Child #4 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were signed on 5/22/23 and reviewed on 1/3/24.

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.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file of Child #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff #2 lacked documentation of completing mandated reporter training every 60 months. Staff #2 had documentation of mandated reporter training completed on 5/7/20 with previous training completed on 5/2/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020 (SEE LIS Code Sheet). Staff #1 had an NSOR dated 8/12/20. The file of Staff #3 lacked documentation of application for the National Sex Offender Registry Verification Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 contained documentation the NSOR was requested on 10/11/23 and contained an NSOR dated 10/16/23.

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.

Regulation: 3270.34(b)(1)/3270.192(2)(iii)

Description: Bachelor's + 1 yr/Exp, educ., training at facility

Noncompliance Area: The file of Staff #4, who was designated as a director, lacked documentation of 1 year of experience with children.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of 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.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The facility provided documentation that the hypothetical locations for fire drills conducted on 7/7/23 and 8/11/23 were the same.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 1/13/23, 2/10/23, 3/10/23, 4/7/23, 5/5/23, 6/2/23, 6/30/23, 7/28/23, 9/20/23, 10/6/23, 11/3/23, 12/1/23, and 1/4/24.

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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1/5/23 observed a cracked blue bin containing circular picture cards/matching game in the Extended Day Classroom. On 1/5/23 observed a cracked large red square Magna Tile in the Pre K Counts Classroom. On 1/5/23 observed torn rest mats with exposed foam in the Pre K Counts classroom. On 1/5/23 observed a frayed wicker basket in the Science Area of the Part Day Classroom. On 1/5/23 observed a torn green mat with exposed foam in the quiet area by the teacher's desk in the Extended Day Classroom.

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.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 1/5/23 the facility lacked documentation the protective surface covering under the outdoor equipment that requires embedded mounting meets the recommendations of the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 1/5/23 observed foam blocks with bite marks in the Part Day Classroom.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 1/5/23 the 1st refrigerator in the kitchen lacked an operating 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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of Child #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of Child #1 lacked the complete work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #2 lacked the complete home address of the enrolling parent on the emergency contact form. The file of Child #3 lacked the complete home and work addresses of the enrolling parent on the emergency contact form.

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: The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 1/5/23 emergency contact information for Child #5 was not present in the Extended Day Classroom where the child was receiving care. On 1/5/23 emergency contact information for Child #6 was not present in the Pre K Counts Classroom where the child was receiving care.

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.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The file of Child #3, a 4-year-old, lacked Pneumococcal, influenza, and Varicella immunizations in accordance with the schedule recommended by the ACIP. The file of Child #3 contained documentation of 3 Pneumococcal immunizations and no Varicella immunizations. The file of Child #4, a 5-year-old, lacked influenza and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #4 contained documentation of 1 Hepatitis A immunization.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #4 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 2/21/22 with a previous one dated 11/20/19.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: On 1/5/23 observed adult scissors in the top drawer of the teacher's desk in the Part Day Classroom which were accessible to children. On 1/5/23 observed adult scissors in a cup on the teacher's desk in the Extended Day Classroom which were accessible to children. On 1/5/23 observed 2 pair of adult scissors in a caddy on the teacher's desk in the Pre K Counts classroom which were accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of Staff #1, #2, and #3 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of emergency plan training completed on 8/1/22 with previous training completed on 2/1/21. The file of Staff #2 contained documentation of emergency plan training completed on 8/12/22 with previous training completed on 2/2/21. The file of staff #3 contained documentation of emergency plan training completed on 2/2/21 but no documentation for 2022.

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: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff #1 lacked documentation of mandated reporter training completed every 60 months. Staff #1 had documentation of mandated reporter training completed on 9/25/20 with previous training completed on 8/3/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 1/5/23 observed a loose faucet at the sink used for handwashing in the bathroom with the toilet and urinal. On 1/5/23 observed exposed bolts on the gates and fence surrounding the outdoor play space. On 1/5/23 observed rust on the fence at the entrance to the facility located by the parking lot. On 1/5/23 observed rust on the heat registers located in the Pre K Counts Classroom.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 1/5/23 observed peeling paint on the outside of the 1st bathroom stall by the sink. On 1/5/23 observed peeling paint on the fence at the entrance to the facility located by the parking lot. On 1/5/23 observed peeling paint on the heat registers and in the right corner of the wall in the Pre K Counts Classroom.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The main classroom had ripped cardboard brick blocks, preventing them from being in good repair.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Located on a low shelf in the main classroom there were Glow Sticks, labeled Choking Hazard: Keep Out of Reach of Children. These Glow Sticks were accessible to children who are still placing objects in their mouths.

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.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The Agreements in the files for Child #4 and #5 did not specify the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreements in the files fir Child #2 and #3 did not specify the person designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form in the file for Child #1 lacked the address and telephone number of the child's physician or source of medical care. The Emergency Contact Form in the file for Child #2 lacked the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The Emergency Contact Form in the file for Child #1 lacked written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form in the files for Child #4 and #5 lacked the health insurance policy number.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Main Classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The Health Report for Child # 2 lacked a influenza vaccine in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #1 contained a health assessment that was conducted more than 24 months after the previous assessment; 6/20/19 and 6/23/21.

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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The Emergency Contact Form in the file for Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Located on the teacher desk in the main room was a pair of sharp teacher scissors that were accessible to the children in care.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #1 lacked a written evaluation that was conducted at least every 12 months. The evaluations in the file were dated 9/28/20 and reviewed last on 10/11/21.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Located next to the large TV there was an electrical surge protector that was missing 4 protective covers. This surge protector was accessible to children 5 years of age or younger.

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

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: Located by the small fridge in the eating area, and located by the teacher desk in the main room on the floor were 5 ant traps that were accessible to the children in care.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Located on the wall to the right of the sink in the boys bathroom there was peeling paint.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The boys bathroom was missing a handwashing signs at each of the two toilets.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The facility had a bookshelf that was blocking a door that leads to a fire safety escape route.

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

Regulation: 3270.136(d)

Description: Communicate report to DOH

Noncompliance Area: Facility failed to promptly notify Child Care Certification Staff of positive Covid-19 test results.

Correction Required: A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff Member #1 smacked a child's hand as a form of redirection/punishment.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: A shelf in the boys bathroom located behind the diaper changing table was observed missing a screw in the L bracket that anchored the shelf to the wall, thus creating a tipping hazard.

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

Noncompliance Area: Child #1 and #6 lacked the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being 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: Children #1, #2, #3, #4, #5, and #6 lacked an admission date on the agreement.

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

Noncompliance Area: The emergency contact information for child #2 lacked the name, address and telephone number of the child's physician or source of medical care.

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 children #1 and #2 lacked the address and telephone number 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: Child #2 lacked a influenza immunization in the 2018/2019 flu season or an exemption letter for this immunization from the parent.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Child #5 lacked parental review and update to the emergency contact information and the financial agreement at least once in a 6-month period in 2019. The most current review date observed on file was dated 2/15/19.

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: Staff #1 was provisionally hired for child care on 10/3/19 but did not apply for a NSOR certificate until 10/28/19. No current registry certificate was on file.

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. Staff Person #1 may not work in a child care position at the facility until an NSOR clearance is obtained.

Noncompliance Area: On 2/3/20 at 9:45 AM 3 staff were observed supervising a mixed ratio of 24 preschool and school-age children in the same group, exceeding the maximum group size of 20 for the youngest child in care.

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. 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).

Noncompliance Area: In the "Play Gym", a bulletin board was observed to have a piece of cracked metal trim protruding from the frame. The bulletin board is located near the floor, accessible to the children.

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.

Noncompliance Area: In the children's eating area, two orange chairs missing at least one chair foot were deemed unstable.

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

Noncompliance Area: The file for Child #4 is lacking a Child Service Report.

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: The arrival times for Child #4, who was stated to be a school-age child, reflect all-day care.

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

Noncompliance Area: The Emergency Contact Form for Child #4 lacked the address of the child's medical provider.

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 Form for Child #1 lacks the house number for one of the designated individuals and the Emergency Contact Form for Child #2 lacks an address for one of the designated individuals.

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: All child care spaces lacked a posting of the Emergency Transportation Plan.

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: One tube of Eczema cream that expired in 7/15 lacked a label identifying which child to whom the medication belonged.

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. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The Agreement for Child #1 lacked indication that the parent had reviewed the form for changes.

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 Agreement for Child #3 lacked a parental signature.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The file for Staff #1 lacked verification of the six hours of training that had been obtained during the most recent employee anniversary year.

Correction Required: 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: One electrical outlet, in the room where 3 and 4 year olds were observed to be receiving care, lacked a protective cover.

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

Noncompliance Area: The first-aid kit was located in the kitchen area, which is not measured child care space and the children do not receive care.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: The fabric on the sides of fabric on a large doormat inside of the entrance was observed to be rolled up and detached from the rubber backing, creating a tripping hazard.

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: The following surfaces inside the facility were observed to have areas of peeling paint and/ or damaged plaster: in the "Play Kitchen" near the window; in the "Play Gym" area below the bulletin board; in the "Extended PreSchool" area below the "rules" poster; in the right restroom, around the sink floor. These are areas where moisture collects, damaging the paint.

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

Noncompliance Area: A tall shelf, in the bathroom where the changing table is located is unsteady posing a tipping hazard. Several shelves and cubbies located throughout the room and used to divide play spaces were not anchored and were easily able to be tipped over.

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

Noncompliance Area: The agreement for Child #1 lacked the child's arrival and departure times.

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

Noncompliance Area: The file for Child #1 lacked emergency contact information that included the policy number for the child's health insurance.

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 health report for Child #1 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: A bottle of Resolve Carpet Cleaner, Lysol and tile cleaner, all labeled Keep Out of Reach of Children, were all located on a low shelf in an unlocked cabinet next to the staff desk in the Extended Day Area.

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 was located on the middle shelf of a book case that stood less than 4 feet tall, making it accessible to the children.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: There was no hand washing sign over the urinal in the bathroom where the changing table is located.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: In the "Puzzles" area, one wooden block was observed to be splintered. In the "Rainbow" area, a wooden storage bin cart was wobbling, creating a toppling hazard. In the "Kitchen Role Play" area, one plastic bin holding toy animals had a cracked corner, causing a cutting hazard. The play sink was observed to have the play faucets lying on top of the unit, unattached. The top of a wooden hutch wobbled, causing the unit to be a toppling hazard. The toy refrigerator door was observed to no longer close properly. A plastic toy storage bench was observed to have several cracks in the plastic along the seating bench, creating pinching hazards. An easel in the preschool space was broken. The backside of a shelving unit facing the large muscle area was observed to have loosened, causing a pinch point. In the "Art" area, one table was observed to be wobble, causing instability. In the Block area, the back of one bookcase was observed to have a loosened, exposing nails.

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.

Noncompliance Area: One child's upholstered chair in the "Rainbow" area was observed to have a large tear in the back.

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

Noncompliance Area: The Agreements for Child #2 & 5 lacked due dates for fees.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The Agreements for Child #1, 2, 3 & 4 lacked descriptions of services to be 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: The Agreements for Child #1, 2, 3, 4 & 5 lacked the date of the child's admission.

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

Noncompliance Area: The Emergency Contact Form for Child #1 included an incorrect birthday, evidenced by the child being 3 years old but listing a 2016 birthday.

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

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the phone number of the child's medical provider.

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 Forms for Child #1 & 4 lacked the health insurance policy number.

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

Noncompliance Area: The file for Child #1, determined to have been enrolled on 11/25/16, lacked a health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The health assessment for Child #5 lacks a statement assessing the child's ability to participate in child care and the status of contagious or communicable diseases.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: Emergency Plan training for Staff #2, hired on 8/15/16, was conducted on 8/23/16, more than a week after the date the staff began providing child care.

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.