The Learning Tree Child Care Center Llc

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff # 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file at the facility.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff #1, #2, #3 and #5 did not receive training regarding the emergency plan at the time of initial employment (see LIS Code Sheet for DOH).

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(f)

Description: Health and Safety Training

Noncompliance Area: The inspector reviewed the staff files and noted that staff #1did not have an acceptable Pediatric First Aid and CPR training from a PQAS approved trainer and a PQAS approved curriculum. Staff person #3 did not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). Until such time as the required training is completed, staff person #1must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff person #1staff person #1may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #4 did not update their clearances every 60 months as evidenced by a previous Pa Child Abuse dated 07/14/20 and an updated PA Child Abuse dated 12/01/25, a previous DHS FBI dated 7/21/20 and an updated DHS FBI dated 11/24/25, a previous dated NSOR Clearance dated 7/14/20 and an updated NSOR Clearance dated 12/16/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The facility director and any other persons involved in the hiring of staff must register and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next two months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement, health assessment and TB screening, two nonfamily references, proof of education and experience (officially translated if needed). The Northeast Regional Office will review the newly hired and completed staff files prior to hire within one week of receipt. The correction date for this portion of the plan must be two months from the acceptance of the plan by The Northeast Regional Office.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: During the course of the unannounced complaint investigation the inspector spoke with the staff at the facility and was informed that the children were not being taken out daily weather permitting.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.62(a)

Description: Large muscle space provided

Noncompliance Area: During the course of the unannounced complaint investigation the inspector spoke with the staff at the facility and was informed that the children were not utilizing the indoor play area for large muscle activity as the school aged children were being housed int this space since school ended.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the course of the annual inspection the inspector observed that outdoor play area's unitary playground protective surface covering is in disrepair creating tripping hazards for children while at play.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the course of the annual inspection the inspector observed unlabeled mats in the young toddler room with children sleeping on them.

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

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: During the course of the annual inspection the inspector observed children asleep in the "waddler" room on blankets.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the course of the annual inspection the inspector observed an infant asleep in a crib that was directly in between two other cribs.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the course of the annual inspection the inspector observed that staff #1, #2, #3, #4, #5, #6, all to have been employed over one year and did not have the required annual minimum of 12 clock hours of childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the course of the annual inspection the inspector found that staff #8 did not update their clearances every 60 months as evidenced by a previous Pa Child Abuse previously dated 2/03/20 and a current one dated 2/7/25, a previous FBI dated 2/2/20 and a current one dated 2/7/25. Staff #9 did not update their clearances every 60 months as evidenced by a previous Pa State Police Clearance previously dated 9/19/19 and a current one dated 2/13/25. Staff #7 was hired without having a PA Child Abuse on file and proof of having applied for the PA State Police prior to hire.

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. If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance (effective 2/1/25), completed out-of-state clearances (if applicable effective 2/1/25), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the course of the annual inspection the inspector observed that a handwashing sign was missing from the lunchroom/multipurpose room bathroom.

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: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's emergency contacts were not updated at least every 6-months: Child #1, #4 and #6. Child #1 had an emergency contact dated for 6/10/23 and was not updated until 1/22/24. Child #4 had an emergency contact dated for 5/3/23 and was not updated until 1/23/24. Child #6 had an and emergency contact dated for 4/17/23 and not updated until 1/23/24. The following child's agreement form was not updated every 6-month period: Child #6. Child #6 had an agreement for 4/18/23 and it was not updated until 12/4/23.

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. 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: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's date of birth. Child #6 is an infant, and the parent did not provide an updated health report at least every 6 months. The last health report for Child #6 was dated 2/2/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's date of birth. Child #2 is a preschool-age child, and the parent did not provide an updated health report at least every 12 months. A health report was in the file dated for 12/23/31 and another report was not received until 5/5/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff did not review the emergency plan annually as required by regulation: Staff #3, #4, #5, #6, #7, #8, #9, #10, #11 and #12. These staff reviewed the emergency plan on 10/10/22 and they did not review the emergency plan again until 12/26/23. Staff #5 previously reviewed the emergency plan on 10/10/22 and did not review the plan again until 1/29/24.

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)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff did not participate in fire safety training on an annual basis: Staff #1, and #2. Staff #1 previously took the training on 5/4/22 and updated it on 6/21/23. Staff #2 previously took the training on 5/19/22 and updated it on 6/20/23.

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)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/12/18. Staff #6 updated this training on 2/5/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of staff. The following staff did not have an evaluation completed on an annual basis: Staff #3, #4, #7 and #10. Staff #3 had an evaluation completed on 11/14/22 and not again until 12/19/23. Staff #4 had an evaluation completed on 11/4/23 and not again until 12/11/23. Staff #7 had an evaluation completed on 12/2/22 and not again until 1/11/24. Staff #10 did not have an evaluation completed until 1/12/24.

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

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the lunchroom, in the rear right corner, exposed insulation was found accessible to children. In the facility's stairwell, the stair treads were coming undone from the steps. In the outdoor play area, a climb on fire truck was found to have peeling paint on the wooden platform. Also in the outdoor play area, water tables were found that contained exposed insulation and rusty nails. These areas were addressed with the director at the inspection.

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. 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire system testing log was completed. Regulation requires the fire safety system to be tested at least every 30 days. The following drills did not occur at least every 30 days: 9/22/23 - 10/27/23.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 1. Staff # 1 did not receive a health assessment or tuberculosis screening at the time of initial employment. Staff # 1 did not receive a health assessment or tuberculosis screening until 8/5/23.

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: 3270.191

Description: Individual Records

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Facility Person # 5 was identified as a volunteer. A file with all appropriate documents was not maintained at the facility for Facility Person # 5. Facility Person # 6 was identified as a lifeguard. A file with all appropriate documents was not maintained at the facility for Facility Person # 6.

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

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Facility Person # 5 was identified as a volunteer. A file with all appropriate documents was not maintained at the facility for Facility Person # 5. Facility Person # 6 was identified as a lifeguard. A file with all appropriate documents was not maintained at the facility for Facility Person # 6. Staff did not attend the training on 8/23/23.

Correction Required: An individual record is required for each facility person. The Legal Entity, Director or anyone involved with the hire of staff or staff files, will schedule and attend Existing Provider Orientation at the Northeast Regional Office. The training can be scheduled by calling 800-222-2108. The training date is 8/23/23. Staff will now attend the training on 11/29/23.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for Staff # 1 and Staff # 2. The files of Staff # 1 and Staff # 2 did not contain two written letters of reference.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection was conducted at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 3. Staff # 3 was hired using a state police clearance dated for 11/7/17. This clearance was no longer valid per the Child Protective Service Law (CPSL). Staff # 3 did not receive a valid state police clearance until 7/31/23. Facility Person # 4 was identified as the facility's lifeguard. Facility Person # 4 was used in this role for summer camp that began 6/26/23. Facility Person # 4 did not have a state police or child abuse clearance in their file until 8/4/23, an FBI clearance until 8/7/23 and the file did not include the NSOR or documentation that the NSOR clearance was applied for. Facility Person # 5 was identified as a volunteer. The file of Facility Person # 5 did not contain appropriate clearances for this Facility Person to volunteer at the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection was conducted at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 3. Staff # 3 was hired using a state police clearance dated for 11/7/17. This clearance was no longer valid per the Child Protective Service Law (CPSL). Staff # 3 did not receive a valid state police clearance until 7/31/23. Facility Person # 4 was identified as the facility's lifeguard. Facility Person # 4 was used in this role for summer camp that began 6/26/23. Facility Person # 4 did not have a state police or child abuse clearance in their file until 8/4/23, an FBI clearance until 8/7/23 and the file did not include the NSOR or documentation that the NSOR clearance was applied for. Facility Person # 5 was identified as a volunteer. The file of Facility Person # 5 did not contain appropriate clearances for this Facility Person to volunteer at the facility. Staff did not attend training on 8/23/23.

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. Facility Person # 4 and # 5 may not work in a child care position at the facility. The Legal Entity, Director or anyone involved with the hire of staff or staff files, will schedule and attend Existing Provider Orientation at the Northeast Regional Office. The training can be scheduled by calling 800-222-2108. The training date is 8/23/23. Staff must now attend the training on 11/29/23.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 1. Staff # 1 was unable to be appropriately qualified as a staff person as the file was missing proof of education.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Nap mats were found in all the classrooms that were identified for use by children that were ripped exposing the interior foam.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Dates of admission were unable to be located in the following children's files: # 1, # 2, # 3, # 5, and # 6.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's forms were current for this inspection but were not updated every 6-month period as required by regulation: Child # 2 emergency contact dated 7/7/22 updated1/17/23 and the only agreement in the file was dated 12/24/22. Child # 3 emergency contact dated 7/6/22 updated 1/6/23 and the agreement dated 1/18/22 updated 12/21/22. Child # 4 emergency contact dated 1/18/22 updated 10/17/22 and the agreement dated 1/18/22 updated 1/18/23. Child # 5 emergency contact dated 5/13/22 updated 1/6/23 and the agreement dated 5/13/22 updated 12/15/22. Child # 6 agreement dated 1/20/21 updated 12/15/22. Child # 7 emergency contact dated 9/29/21 updated 11/5/22 and the agreement dated 11/5/21 updated 11/5/22.

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. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 2 did not have a health assessment, physical exam or tuberculosis screening on file. Staff # 6 did not have a valid tuberculosis screening on file. The tuberculosis screening dated 5/13/20 was not within 12 months prior to the staff's hire date. Staff # 8 did not have a valid health assessment, physical exam or tuberculosis screening on file. The health assessment, physical exam and tuberculosis screening dated for 4/27/21 was not within 12 months prior to the staff's hire date.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 2 did not have a health assessment, physical exam or tuberculosis screening on file. Staff # 6 did not have a valid tuberculosis screening on file. The tuberculosis screening dated 5/13/20 was not within 12 months prior to the staff's hire date. Staff # 8 did not have a valid health assessment, physical exam or tuberculosis screening on file. The health assessment, physical exam and tuberculosis screening dated for 4/27/21 was not within 12 months prior to the staff's hire date.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. (training completed 1/13/23) Staff person # 7 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. (training completed 1/12/23)

Correction Required: Staff person # 8 shall complete the required one-hour 2022 update to the health and safety training by 3/2/23.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2, # 3, and # 7 (not completed with 90 days of hire) has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 2, # 3 will have until 3/2/23 to complete the required training. Until such time as the required training has been completed, staff person # 2, # 3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 2, # 3 staff person # 2, # 3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 5 was hired using a volunteer child abuse clearance dated 9/12/22. Staff # 6 was hired using a Department of Education FBI clearance dated 8/27/21. Staff # 7 was hired using a volunteer state police clearance dated for 1/22/22 and a Department of Education FBI clearance dated 1/26/22. Staff # 8 was hired using a Department of Education FBI clearance dated 1/26/22.

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 # 5, 6, # 7, and # 8 may not work in a child care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the pre-service training of Pediatric first aid and cpr which is required prior to caring for children unsupervised. Staff person # 3 was observed to be caring for children unsupervised. Staff person # 3 has not completed the pre-service training 10 hours of health and safety training which is required prior to caring for children unsupervised.

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. Until such time as the required pre-service trainings are completed , staff person # 1 and # 3 must be supervised , when interacting with children by an AGS who has completed the required trainings related to this citation. If there are no staff persons available to supervise staff person # 1 & # 3 , staff person # 1 and # 3 may not work in a child care position at facility.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Facility staff # 4 listed as an AGS has no proof of previous child care experience on file with high school diploma.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 3 has not completed the required pre-service training 10 hour health and safety training within 90 days of their date of hire.

Correction Required: Staff persons shall complete professional development in the following topics covered under the 10 hour health and safety training within 90 days of hire. Staff person # 3 will have until 7/30/22 to complete the required training. Until such time as the required training has been completed, staff person # 3 must be supervised , when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 3, staff person # 3 may not work in a child care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person # 1 has not completed the required pre-service training Pediatric first aid and cpr within 90 days of their date of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person # 1 will have until 7/30/22 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised , when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1 , staff person # 1 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person # 4 hired and working in child care has a volunteer state police clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 4 may not work in a child care 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. Facility Person # 4 may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Facility staff # 5 was observed in the the young toddler room alone with 7 young toddlers.

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. 7 young toddlers would require 2 staff to be present.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility fire alarm testing was not conducted every 30 days as required The testing logs reflects the following dates: 3/1/22 to 4/2/22.

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A self-reported non-compliance inspection occurred at the facility on 10/25/21. On 10/7/21, Child # 1 and Child # 2 were able to leave the outdoor play area through a broken section of fencing. This area of the fencing included an opening roughly 1-1.5 feet that was blocked by a board. Both children were able to move the board and leave the fence through the opening and make it roughly 6 feet to the corner of the driveway and the alley before being verbally directed back into the play area by Staff # 1. During this time, Staff # 1 was opposite to the children in the play area helping another child but heard the board drop and immediately began responding to the children. Staff # 2 was sitting on the enclosed green slide with her back turned to the play area and Staff # 2 was on their cell phone.

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. 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. Children must be supervised at all times.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A self-reported non-compliance inspection occurred at the facility on 10/25/21. On 10/7/21, Child # 1 and Child # 2 were able to leave the outdoor play area through a broken section of fencing. This area of the fencing included an opening roughly 1-1.5 feet that was blocked by a board. Both children were able to move the board and leave the fence through the opening and make it roughly 6 feet to the corner of the driveway and the alley before being verbally directed back into the play area by Staff # 1. During this time, Staff # 1 was opposite to the children in the play area helping another child but heard the board drop and immediately began responding to the children. Staff # 2 was sitting on the enclosed green slide with her back turned to the play area and Staff # 2 was on their cell phone.

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. 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. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also include a cell phone usage policy prohibiting use during work hours . This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A self-reported non-compliance inspection occurred at the facility on 10/25/21. On 10/7/21, Child # 1 and Child # 2 were able to leave the outdoor play area through a broken section of fencing. This area of the fencing included an opening roughly 1-1.5 feet that was blocked by a board. Both children were able to move the board and leave the fence through the opening and make it roughly 6 feet to the corner of the driveway and the alley before being verbally directed back into the play area by Staff # 1. During this time, Staff # 1 was opposite to the children in the play area helping another child but heard the board drop and immediately began responding to the children. Staff # 2 was sitting on the enclosed green slide with her back turned to the play area and Staff # 2 was on their cell phone.

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. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff file's was conducted. The facility has an approved provisional hire waiver and Staff # 1 was hired as a provisional hire on 10/4/21. Documentation in the file of Staff # 1 indicated that this staff had lived in another state within the last 5-years of this staff's hire date. Staff # 1 did not apply for the out of state clearances per the CPSL prior to beginning employment as a provisional hire at the facility. Staff # 1 had worked with children prior to applying for the out of state clearances and was working during this inspection. Staff # 1 was not hired correctly as a provisional hire per the CPSL.

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 # 1 may not work in a child care position at the facility. The CPSL requires all provisionally hired staff to have applied for all appropriate clearances before working in child care with children and to remain supervised at all times by an approved staff. The CPSL requires any staff who have lived out of state within the last 5-years of the staff's hire date to have all the clearances of that state.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a hire date of 10/4/21. The file of Staff # 1 was missing proof of education. Staff # 1 could not appropriately be qualified to work in a child care role at the facility without proof of education. Staff # 1 was working with children during this inspection.

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.

Regulation: 3270.63/3270.76

Description: Unsafe Areas in Outdoor Space/Building Surfaces

Noncompliance Area: A self-reported non-compliance inspection occurred at the facility on 10/25/21. On 10/7/21, Child # 1 and Child # 2 were able to leave the outdoor play area through a broken section of fencing. This area of the fencing included an opening roughly 1-1.5 feet that was blocked by a board. Both children were able to move the board and leave the fence through the opening and make it roughly 6 feet to the corner of the driveway and the alley before being verbally directed back into the play area by Staff # 1.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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: There is one tile missing on the ground of the outdoor play space creating a possible tripping hazard

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: There are plastic bags located in the bottom unlocked drawer of the plastic cabinet accessible to children in the older toddler 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: The vinyl black chair located in the Learning Lane Room has holes in material

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

Noncompliance Area: The refrigerator located in the older toddler room does not have a thermometer to verify temperature. The refrigerator located on the landing has a temperature reading 50 degrees F.

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.

Noncompliance Area: The daily schedule is not posted in the older toddler room

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

Noncompliance Area: Child file #3's immunization record is not listed on the health assessment

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

Noncompliance Area: The facility does not have parental permission slips for diaper ointments they are administering to children

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

Noncompliance Area: The portion of the medication log that is required to be completed by staff was left blank on 6/27/19 for child #1. Child #2 has an "as needed" medication at facility but does not have a corresponding medication log on file.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: The infants do not have written feeding schedules obtained by the parent on file

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

Noncompliance Area: Facility person #2 does not have 2500 hours of child care experience documented in file to qualify for current position

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: Facility person #1 does not have documentation on file to verify that they received annual emergency plan training

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: The emergency plan is not posted at a conspicuous location in the facility

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: The first-aid kits located in the infant room and the Learning Lane Room do not contain soap. Soap and gloves are missing in the first-aid kit located in the Crayola Canon Room.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The garbage can located in the infant bathroom is missing a hands free lid

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

Noncompliance Area: The fire drill log shows that fire drills held on 4/1/19, 6/5/19 and 8/8/19 were held more than 60 days apart

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Facility person #1 has a disclosure statement on file that is missing a witness signature. Facility person #1 has a date of hire listed as 8/19/19 but is missing copies of the requests for clearances, including being fingerprinted for the 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.

Noncompliance Area: On 8/19/19 the operator hired a person that has been convicted of the crime of corruption of minors. The crime is a prohibited offense under the CPSL. Facility person #1 has a disclosure statement on file that is missing a witness signature. Facility person #1 has a date of hire listed as 8/19/19 but is missing copies of the requests for clearances, including being fingerprinted for the FBI clearance. Facility person #1 currently has a volunteer PA Criminal Clearance on file dated 9/17/19 instead of one for employment and currently has a PA Child Abuse Clearance on file dated 8/22/19. The operator terminated facility person #1's employment on 9/27/19.

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 child care position at the facility.

Noncompliance Area: The refrigerator located in the kitchen has some spills and debris and needs to be cleaned

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.

Noncompliance Area: Child file #2 does not have the health insurance policy number listed on the emergency contact form

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

Noncompliance Area: Child files #1 and 3 do not have the addresses of release persons listed on the emergency contact forms

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: Facility person #2 has a health assessment and TB test on file that is dated 7/28/17. The heath assessment and TB test must be less than a year old from the date of hire.

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: Facility person #3 does not have proof of being fingerprinted for the FBI clearance or paperwork showing the child abuse clearance was requested prior to starting employment at the facility on 12/2018. All required clearances are currently on file. Facility person #4 has a volunteer child abuse clearance on file but is currently working as a staff person.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility until a child abuse clearance is on file for employment. New hires must sign a disclosure statement, have documentation on file showing all clearances have been requested, including being fingerprinted for the FBI clearance, prior to the start employment at facility.

Noncompliance Area: Facility person #1 does not have one year of child care experience (1250 hours) documented in file to qualify as a director. Facility person #2 does not have the required two years of child care experience (2500 hours ) to qualify as a group supervisor.

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.

Noncompliance Area: There is a container of Sani-wipes and disinfectant wipes accessible to children on low shelves in the school-age room. There is a can of air freshener located on bathroom cabinet in the school-age 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 first-aid kits in the older toddler room and the infant room are missing soap

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: There is some damaged plaster located on the blue wall in the school-age 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: The emergency exit from the school-age room is locked and the stairway is obstructed with snow

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 an inspection visit to facility on 1/28/19, facility person #1 stated that she sometimes restrains child #1 by sitting him on her lap and putting her arms around him because it calms him and she is a trained behavior therapist. Facility person #1 is a staff person and does not work at the facility in the capacity of a behavior therapist.

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: During inspection visit on 1/28/19, Cert rep. observed two infants sleeping in swings during inspection. Facility person #1 and #2 stated that the infants just fell asleep but facility person #1 stated that they allow child #2 and 3 to sleep in the swings because the parents allow it at home.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Facility person #1 stated that staff do wash bottles by hand sometimes because parents do not provide enough bottles for the day.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: On 1/28/19 Cert rep. observed facility person #1 who identified herself as an aide watching a group of 12 school-age children without another qualified staff person being present

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: During an inspection visit on 1/28/19 Cert rep. observed the young toddler room out of ratio and over capacity by one child. There were 11 young toddlers present with two staff present. Facility person #1 stated on 1/28/19 that facility person #2 left the infant room 10 minutes prior to the end of her shift leaving the room out of ratio by one child for approximately 10 minutes. There were 9 infants present with two staff until another staff person arrived for her shift. The infant room was in ratio during inspection and there were enough staff present for facility to be in ratio if children had been assigned differently.

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 an inspection visit on 1/28/19 Cert rep. observed the young toddler room over capacity by one child. There were 11 young toddlers present with two staff and the room has a capacity of 10 children. Facility person #1 and 2 informed Cert rep. that there were nine infants present in the infant room earlier in the day on 1/28/19 but the infant room has a capacity of eight children and the room was over by one child.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: The operator stated that about a month earlier a staff person placed a young toddler on a changing mat that had a bleach solution on the surface that was not dry and it bleached the child's clothing. The child was not injured.

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.

Noncompliance Area: There are some items in the older toddler room, i.e. poms poms, pieces of yarn and glue sticks accessible in the unlocked drawers of the plastic cabinet. Also, there are screws, plug covers and hardware located in the unlocked drawers of the purple desk.

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 inspection Cert rep. observed toddlers sitting at the table with drop-in seats. The safety straps were not used for the children sitting at the table.

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

Noncompliance Area: During inspection visit on 2/23/18 Cert rep. observed infants sleeping in cribs that do not have two feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The daily plan is not posted in the school-age room

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

Noncompliance Area: Child files #1,2,3,4,5 and 6 do not have the names of release persons listed on the fee agreements

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

Noncompliance Area: The date of admission is not listed on the fee agreements for child files #1,2,3,4,5 and 6

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

Noncompliance Area: Child file #4 is missing the work name, address and phone number of enrolling parent

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

Noncompliance Area: Child files #2 and 4 are missing the addresses of release persons and health insurance policy information on the emergency contact forms. Child file #5 is also missing health insurance policy information.

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. 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: Some of the medication logs located in the older toddler and preschool rooms do not have the from and to dates indicated for the as needed medications

Correction Required: A medication log shall include the date of administration.

Noncompliance Area: The garbage can lid in the infant room is broken

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Facility person #1 does not have two written non-family references on file

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

Noncompliance Area: The hot water in the sink in the infant room exceeds 110 degrees F.

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

Noncompliance Area: The first-aid kit located in the preschool rooms contain medications and is accessible to children

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

Noncompliance Area: The first-aid kit located in the preschool room does not contain scissors. The school-age first-aid kit is missing soap.

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.