The Learning Station

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

Description: Age and Training

Noncompliance Area: During renewal inspection, staff files were reviewed. Staff #1's previous Pediatric CPR certificate is dated for 12/28/22. The renewal of the certificate in CPR training was not obtained until 1/7/25. This date indicates that staff #1 did not complete an updated Pediatric CPR training on or before the expiration of the previous certificate within the 2-year requirement.

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

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: Child #2's emergency contact sheet did not have the work address of the enrolling parent. Child #1 and #3's emergency contact sheet did not have the release person's address.

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

Description: Updated every 6 months

Noncompliance Area: There was no documentation that Child #1's emergency contact sheet had been updated within 6 months. Last update signature was dated for 8/29/23.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The following dates indicate that fire alarm testing was not done within the 30 day requirement: 6/1/23, 7/3/23, 9/1/23, 10/2/23, 12/1/23, 1/1/24, 2/1/24, 3/1/24, 4/1/24.

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: 3270.131(a)

Description: Health information

Noncompliance Area: While at the facility unannounced on 3/8/24 the inspector observed the file for child #1 and found that this child had been enrolled for over 60 days (see LIS Code sheet for admission date) and did not obtain a health assessment on file until 11/29/23

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: While at the facility unannounced on 3/8/24 the inspector observed the file for staff #1 and found that the staff began direct care with children on 3/4/24 and did not obtain a health assessment and TB screening until 3/7/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 06/13/23 the inspector observed the file for staff #1 and noted that (see LIS for start date) staff had no proof of having the necessary out of state clearances as this staff resided out of Pa in the last five years. Upon the first day of working in direct childcare a facility person's record shall include a copy of requests for the PA State Police Record check, DHS FBI fingerprint submission, Pa Child Abuse Registry clearance information, the NSOR, a copy of the disclosure statement and any out of state clearances if the facility person resided out of PA in the last five years. Also acceptable are copies of the less than 60 months old, completed clearance information required under the CPSL and mentioned above.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Child # 1 must be dismissed from care by close of business 3/3/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: While at the facility unannounced on 3/3/23 the inspector observed the file for child #1 and found that it was missing a statement that the child is able to participate in childcare 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.

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: While at the facility unannounced on 3/3/23 the inspector observed the file for staff #1 and found that the health assessment was missing the results of the examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.27(a)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the emergency plan and found the emergency plan was missing accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises as well as 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 shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the emergency plan and found the emergency plan was missing concurrence with the local municipality and to the county emergency management agency as is required.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the files for staff #1, #2, #3, #4, and #5 did not have annual fire safety training as is required.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the files for staff #1 and noted that the staff had an FBI on 9/28/16 and did not update the FBI until 2/19/22. This clearance was not updated every 60 months as required by the CPSL. This clearance needed to be updated by 9/28/21.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the fire drill and detection log for the facility and found that the facility fire drills and testing were not done timely nor consistently as of 2/15/22.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the fire drill and detection log for the facility and found that the facility fire drills and testing were not done timely nor consistently as of 2/15/22. The facility was not keeping a log with the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Noncompliance Area: On 2/27/20, a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 had a health assessment dated for 2/6/17. An updated health assessment was not conducted until 1/26/20. Staff # 5 had a health assessment dated for 1/31/17. An updated health assessment was not conducted until 2/26/19. Staff # 6 had a health assessment dated for 8/7/17. An updated health assessment was not conducted until 11/26/19. These health assessments were not updated every 24 months per regulation.

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: On 2/27/20, a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 had a health assessment dated for 1/26/20 and the doctor did not indicate on the form if a physical examination was completed.

Correction Required: An adult health assessment must include a physical examination.

Noncompliance Area: On 2/27/20, a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 had a health assessment dated for 1/26/20 and the doctor did not indicate on the form if an examination for communicable diseases was completed or the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 2/27/20, a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 had a health assessment dated for 1/26/20 and the doctor did not indicate on the form if Staff # 4 was suitable to provide child care. Staff # 3 had a health assessment dated for 7/1/19 and the doctor did not indicate on the form if Staff # 3 was suitable to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: On 2/27/20, a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 has been employed at the facility since 2015 with a child abuse clearance dated for 2/23/15. This child abuse clearance has not been updated every 5 years per CPSL. Staff # 2 has been working at the facility since 2013 with mandated reporter training documented for 1/14/15. This mandated reporter training was not updated every 5 years per CPSL but updated participation in the training occurred on 2/3/20. Staff # 3 was hired as a provisional hire on 7/15/19 and the file did not contain documentation that the child abuse clearance has been applied for at the time of hire. Staff # 3 did not receive a child abuse clearance in the file until 2/5/20. Staff # 3 worked with children without all appropriate clearance being in the file. Staff # 4 has been employed at the facility since 2011 with a child abuse clearance dated for 12/7/14 and mandated reporter training dated for 1/9/15. This clearance and mandated reporter training was not updated every 5 years per CPSL until 2/11/20 and updated participation in the mandated reporter training did not occur until 1/25/20. Staff # 5 has been employed at the facility since 2011 with a child abuse clearance dated for 12/7/14 and mandated reporter training dated for 1/8/15. This clearance and mandated reporter training was not updated every 5 years per CPSL until 2/5/20 and mandated report training did not occur until 1/28/20. Staff # 6 has been employed at the facility since 2013 with a state police clearance dated for 10/21/13, a child abuse clearance dated for 11/4/13, an FBI clearance dated for 10/22/13 and mandated reporter training dated for 1/9/15. These clearances and mandated reporter training were not updated every 5 years per CPSL. The state police clearance was updated for 1/14/19, the child abuse for 1/22/19, the FBI clearance for 1/17/19 and the mandated reporter training for 2/6/20.

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

Noncompliance Area: At a complaint inspection on 8/14/19, Staff # 2 indicated that Staff # 1 had placed Child # 1 in a floor high chair for an undetermined amount of time as a time out on 8/5/19. Staff # 2 indicated Staff # 1 has also used this floor high chair as a time out for this child.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: On 7/3/19, an unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 began working with children on 6/10/19. This file was missing documentation of a health assessment being conducted prior to working with children at the facility.

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 7/3/19, an unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 began working with children on 6/10/19. This file was missing documentation of a tuberculosis screening being conducted prior to working with children at the facility.

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: On 7/3/19, an unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 began working with children on 6/10/19. This file was missing two written, nonfamily references. Staff # 1 suitability to serve as a staff at the facility was unable to be determined.

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 7/3/19, an unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 began working with children on 6/10/19. This file was missing verification of education. Staff # 1 was unable to be appropriately qualified as a staff person at the facility.

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: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 1 had a health assessment dated 2/8/16. The file's health assessment for Staff # 1 was not updated in 2018 as required every 24 months. Staff file # 2 had a health assessment dated 6/28/16. The file's health assessment for Staff # 2 was not updated in 2018 as required every 24 months. Staff file # 4 had a health assessment dated 5/18/16 and the file did not contain an updated health assessment until 1/11/19 within the 24 months as required. Staff 1 and 2 were working within ratio with children on the date of this inspection.

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 the date of this renewal inspection, a review of staff files was conducted. Staff file # 3 had a date of hire of 5/14/18 and the file did not contain documentation of education or documentation of 2 years of experience with children. The director was attempting to qualify Staff # 3 as an assistant group supervisor but the file did not contain appropriate documentation for this qualification.

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: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 3 had a date of hire of 5/14/18 and the file did not contain documentation of two written references. The director was attempting to qualify Staff # 3 as an assistant group supervisor but the file did not contain appropriate documentation for this qualification.

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 the date of this renewal inspection, a review of staff files was conducted. Staff file # 3 had a date of hire of 5/14/18 and the file did not contain documentation of education or documentation of 2 years of experience with children. The director was attempting to qualify Staff # 3 as an assistant group supervisor but the file did not contain appropriate documentation for this qualification.

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. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. Staff # 1 was supervising the infant room. During the inspection, an infant was viewed sleeping belly down on the mattress with a head resting on a boppy pillow. The child was covered with a blanket, another blanket was present under the feet of the infant in addition to the fitted bed sheet, another blanket was found laying at the bottom of the child's feet bunched up, and two toys were strapped to the bed on opposite sides of the crib. Staff # 1 stated she laid the child down on their back to sleep but the child rolled on to their stomach. Staff # 1 also indicated that this infant, Child # 1, had been sleeping with this amount of toys, blankets and pillows in the crib since she has been working in the infant room.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. Staff # 2 was in the younger toddler room with a group of 8 children. The age range of the children in this group was 1 year to 2 years which would have required 1 staff for every 5 children. Also on the date of this inspection, in the first front room of the facility by the entrance door, Staff # 3 was present with a mixed age group of 14 children. The age range of children in this room was 3 years to school age. This mixed age group would have required at least 2 staff present to maintain proper staff:child ratios.

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.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. Staff # 2 was in the younger toddler room with a group of 8 children. The age range of the children in this group was 1 year to 2 years which would have required 1 staff for every 5 children. Also on the date of this inspection, in the first front room of the facility by the entrance door, Staff # 3 was present with a mixed age group of 14 children. The age range of children in this room was 3 years to school age. This mixed age group would have required at least 2 staff present to maintain proper staff:child ratios.

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). The Director/Legal Entity will develop a policy on how the facility will ensure that staff:child ratios are met at all times. This policy will be reviewed for approval by the Northeast Daycare Office. Once the staff:child policy has been approved, the Director/Legal Entity will discuss with all staff and obtain signatures indicating the policy has been reviewed by all staff. This policy will then be enforced by the Director/Legal Entity ongoing.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 was presented as the director. Staff # 1 had drivers license issued by New Jersey that expired on 4/30/16. Staff # 1 was unable to at the time of the inspection to provide valid proof of identification as the director.

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 the name, address and telephone number of the facility person.

Noncompliance Area: STAFF MEMBER # 1 WAS OBSERVED BY ANOTHER STAFF MEMBER NOT SUPERVISING THE 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. t. 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: STAFF MEMBER # 1 WAS OBSERVED BY ANOTHER STAFF MEMBER YELLING AT THE CHILDREN.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: THERE ARE EXPOSED BOLTS ON THE CHAIN LINK FENCE FACING IN THE OUTDOOR PLAY AREA.

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: THERE IS A RIPPED NAP MAT FOR A CHILD IN THE YOUNG PRESCHOOL ROOM.

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

Noncompliance Area: CHILD # 1 DOES NOT HAVE MEDICAL POLICY NAME OR NUMBER LISTED IN FILE.

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: THERE ARE EXPIRED OVER THE COUNTER MEDICATIONS IN THE FIRST AID LOCKER IN FROM OF THE FACILITY.

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

Noncompliance Area: THE FOLLOWING STAFF PERSONS DID NOT HAVE HEALTH ASSESSMENTS ON FILE AT TIME OF HIRE, STAFF PERSON 2, 6 & 9. THE FOLLOWING STAFF PERSONS HAD HEALTH ASSESSMENTS CONDUCTED IN OVER 24 MONTHS: STAFF PERSON 1 FROM 8/27/13 TO 2/24/16 & STAFF MEMBER 5 FROM 5/8/14 TO 2/1/17. STAFF MEMBER # 4 DOES NOT HAVE PROOF OF A HEALTH ASSESSMENT 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.

Noncompliance Area: THERE ARE EXPIRED CHEESE STICKS, GRAHAM CRACKERS, BUTTER AND ANIMAL CRACKERS IN THE KITCHEN.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: THE EMERGENCY CONTACT FORM AND FEE AGREEMENT FORM FOR CHILD # 2 WERE NOT UPDATED IN OVER 6 MONTHS FROM 1/20/16 TO 9/7/16. .

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 REGIONAL DAYCARE PHONE NUMBER IS NOT LISTED BY THE CERTIFICATE OR REGS FOR PARENTS TO ACCESS.

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: THERE IS NO DOCUMENTATION ON FILE TO SHOW THE EMERGENCY PLAN HAS BEEN UPDATED SINCE APRIL 1, 2015. STAFF MEMBER # 9 HIRED 2/29/16 WAS NOT TRAINED ON THE EMERGENCY PLAN UNTIL 4/30/16. THERE IS NO DOCUMENTATION OF STAFF MEMBERS 2 HIRED 8/15/16 AND STAFF MEMBER 3 HIRED 6/13/16 HAVING EMERGENCY PLAN TRAINING.

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: FIRE SAFETY TRAINING WAS OVER 12 MONTHS FROM 3/6/15 TO 3/21/16. A PREFILLED SIGNED ATTENDANCE SHEET WAS ON FILE SIGNED BY THE FIRE SAFETY TRAINING INSTRUCTOR BEFORE THE ACTUAL DATE SCHEDULED IN 2017.

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.

Noncompliance Area: STAFF MEMBER # 1 HAS A VOLUNTEER STATE POLICE CLEARANCE. STAFF MEMEBER # 3 DOES NOT HAVE A FBI CLEARANCE ON FILE. STAFF PERSON # 4 HAS VOLUNTEER STATE POLICE AND CHILD ABUSE CLEARANCES ON FILE. STAFF PERSON # 6 HIRED 10/24/16 DID NOT COMPLETE THE MANDATED REPORTER TRAINING UNTIL MORE THAN 90 DAYS AFTER DATE OF HIRE 10/24/16 AND MANDATED REPORTER TRAINING WAS ON 1/30/17.

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.

Noncompliance Area: STAFF MEMBER # 7 DID NOT COMPLETE STAFF EVALUATIONS IN OVER 12 MONTHS FOR STAFF PERSON # 8 FROM 2/9/15 TO 12/8/16 AND STAFF MEMBER # 1 FROM 10/9/15 TO 12/9/16 AND STAFF MEMBER # 5 FROM 4/27/15 TO 12/9/16.

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

Noncompliance Area: THERE IS AIR FRESHNER ON A SHELF ACCESSIBLE TO THE CHILDREN IN THE TWEENIE ROOM.

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 STOVE IN THE KITCHEN THAT IS A HEAT SOURCE THAT EXCEEDS 110 DEGREES IS ACCESSIBLE TO THE CHILDREN.

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

Noncompliance Area: THE FIRST AID KIT IN THE OLDER SCHOOL AGE ROOM IS ACCESSIBLE TO THE CHILDREN. THE FIRST AID KIT IN THE YOUNG PRESCHOOL ROOM HAS NO TWEEZERS.

Correction Required: A first-aid kit must be inaccessible to children. 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 TWEENIE ROOM WALL NEAR THE ELECTRICAL OUTLET HAS A HOLE .

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.