Toddler Town Early Learning Center Llc

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child#1 did not have an initial health report .

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the files for child #1 did not include a record of immunizations.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan was not updated to include continuity of operations per announcement c-22-04, issued 4/19/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1 did not include transcripts.

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

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of an evacuation and did not include specific staff duties or how staff and children were to get to the relocation area.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include accommodations for infants, toddlers, children with special needs and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the inspection on 10/25/24 a playpen in the Infant Room did not have at least 2 feet of space on three sides while in use.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the inspection on 10/25/2024 the file records for child # 1 did not include the name, address and telephone number of the child's physician or source of medical care on emergency contact form.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the inspection on 10/25/2024 the Preschool room did not have emergency contact information present in a child care space for child #3 receiving care in the space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: During the inspection on 10/25/24 the file records for child # 1 and 2 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2-- was observed to be caring for children unsupervised. Staff person #2-- has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric Frist Aid & CPR). During the inspection on 10/25/2024 the facility had an emergency plan that did not address prevention of shaken baby syndrome, volunteer emergency preparedness training, practice drills, and continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the inspection on 10/25/24 staff person #1 was observed providing direct child care and their file did not include an updated health assessment (the health assessment observed dated: 7/7/22).

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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the inspection on 10/25/2024 the facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the inspection 10/25/24 the file record for staff person # 1 did not include annual minimum of 12 clock hours of child care 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 inspection on 10/25/24 staff person#1 was observed providing direct child care and their file including an incomplete State Police Clearance (that was pending and did not include record results). Staff Person #1--- may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- 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 #--- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

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

Noncompliance Area: During the inspection on 10/25/2024 the file records for staff person #2 did not include verification of child care experience prior to service at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the inspection on 10/25/2024 toxics (Lysol, cleaning products) were observed on top of cubbies accessible to children in the Preschool 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection on 10/25/24 a tile near the steps that lead upstairs was observed having a hole in it.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, verification of the required health and safety professional development training was not submitted for staff member #7 (See LIS Code Sheet for DOH).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

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

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, an expired health assessment (3/9/21 completed) was submitted for staff member #2

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, two written, nonfamily references letters were not submitted for staff member #7.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, expired annual fire safety training (4/7/22 completed) and training conducted online (not DHS approved training) was presented for staff member #1.

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: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, verification of completed pre-service professional development trainings were not submitted for staff members #3, #4, #5, and #6 (See LIS Code Sheet for DOH).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, an incomplete ("pending") PA State Police Criminal Clearance was submitted for staff member #6. A completed FBI clearance was not submitted for staff member #7. (See LIS Code Sheet for DOH).

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 #6 & #7 may not work in a childcare position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, there were no acceptable staff qualification documents submitted for staff members #1, #2, #5 and #6 for the position in which they were performing.

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.

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

Description: Director qualifications/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, staff members #2 and #5 were presented as directors and #1 was presented as an assistant director. The verification of education submitted does not qualify the staff members for the position performing at the facility.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 11/14/23, the verification of education submitted does not qualify the staff members #4 for the position performing at the facility.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at §3270.36(b)(1)-(5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: During the renewal inspection on 12/20/22, the operator did not have a daily activity sheet posted in the childcare space upstairs.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the renewal inspection on 12/20/22, staff person #1 left 5 children alone in the Toddler room and she lost sight of the children during transition after snack to the indoor play area.

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.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the renewal inspection on 12/20/22, child #1 did not have emergency contact information on file.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection on 12/20/22, children #2 and #3 did not have emergency contact information updated within the required 6-month period. Emergency contact information for child #1 was dated 5/11/22 and child #3 had emergency contact information dated 2/25/21.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection on 12/20/22, the operator had contact information was for "DPW", not OCDEL (Office of Child Development and Early Learning) posted. The operator did not have instructions for the parents on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 12/20/22: 1. There was a wooden crib in the infant room being used to store excess toys. 2. The air conditioner in the north end of the upstairs childcare space had excess power cable extending over the window seal.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/11/22, THERE WAS NO EMERGENCY CONTACT INFORMATION FOR THE CHILDREN IN THE CHILDCARE SPACE.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/10/22, THE PROVIDER DID NOT HAVE INSTRUCTIONS FOR ACCESSING THE APPLICABLE REGULATIONS ELECTRONICALLY.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/11/22, THERE WAS CRACKED DRYWALL AND PEELING PAINT ON THE DOOR SEAL AT THE KITCHEN ENTRANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF CHILD 5 DID NOT INCLUDE AN AGREEMENT WITH THE CHILD'S ARRIVAL AND DEPARTURE TIMES. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF CHILD 1 (ENROLLED 9/10/18) DID NOT HAVE AN UPDATED HEALTH ASSESSMENT AND THE FILE OF CHILD 2 (ENROLLED 3/25/19), DID NOT INCLUDE A HEALTH REPORT OR DOCUMENTATION OF IMMUNIZATION STATUS. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: DURING THE MONITORING INSPECTION, THE FILE OF STAFF 5 DID NOT INCLUDE A HEALTH ASSESSMENT. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF STAFF 2 DID NOT CONTAIN 2 WRITTEN, NON-FAMILY REFERENCES ATTESTING TO SUITABILITY TO WORK AS A FACILITY PERSON IN CHILD CARE. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS NO DOCUMENTATION OF ANNUAL EMERGENCY PLAN TRAINING FOR STAFF 1 (HIRED 5/27/16), STAFF 2 (HIRED 5/22/18), STAFF 3 (HIRED 7/15/16), STAFF 4 (HIRED 6/12/17) AND STAFF 5- (HIRED 8/1/18). THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF STAFF 4 (HIRED 6/12/17- 0 HRS) DID NOT INCLUDE DOCUMENTATION OF ANNUAL MINIMUM OF 6 CLOCK HOURS OF TRAINING. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF STAFF 2 (AGS -- HS DIPLOMA & 2 YRS EXP) DID NOT INCLUDE VERIFICATION OF EXPERIENCE PRIOR TO HIRE DATE AND THE FILE OF STAFF 4 (GS -- ASSOCIATE DEGREE & 2YRS EXP) DID NOT INCLUDE VERIFICTION OF EXPERIENCE OR EDUCATION. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS EXCESSIVE FOLIAGE AND DEBRIS OUTSIDE OF THE EXIT FROM THE INFANT ROOM. THERE WERE ALSO LARGE CEMENT SLABS AND A TREE STUMP BLOCKING THE PATH OF EGRESS. THIS PATH OF EGRESS WAS ALSO THE PATH OF EGRESS FOR THE 2ND FLOOR. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: DURING THE MONITORING INSPECTION THE STEEL WOOL PLACED IN GAPS IN THE WALL IN THE INFANT ROOM HAD BEEN REMOVED AND REPLACED WITH SPRAY FOAM INSULATION. THE TOXIC CHEMICALS INCLUDING LATEX, LYSOL AND CEILING PAINT LOCATED IN AN UNLOCKED CABINET UNDER THE SINK IN THE KITCHEN AREA ON THE 2ND FLOOR WERE STILL THERE. THIS IS CONTINUNED NON-COMPLIANCE.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WERE TORN SCREENS IN THE WINDOW LOCATED IN THE 2ND FLOOR KITCHEN AREA AND THE WINDOW LOCATED IN THE ROOM OUTSIDE OF THE KITCHEN AREA ON THE 2ND FLOOR. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: Screens shall be in good repair.

Noncompliance Area: DURING THE MONITORING INSPECTION, THE OPENING OF THE WINDOW LOCATED IN THE SECOND FLOOR ROOM OUTSIDE OF THE KTICHEN MEASURED BEYOND 12 INCHES. THE BOTTOM OF THE CENTER WINDOW LOCATED ON 20TH STREET IN THE IMAGINATIVE PLAY AREA WITH YELLOW WALLS CAME COMPLETELY OUT OF THE WINDOW FRAME WHEN OPENED AND THERE WAS A SCREW POTRUDING FROM THE WINDOW-SILL. THIS IS CONTINUNED NON-COMPLIANCE.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS NO FIRST AID KIT IN THE 2ND FLOOR CHILD CARE SPACE. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WERE STAINED AND LOOSE TILES IN THE INFANT ROOM AND A PIECE OF METAL WAS BENT AND POTRUDING FROM THE CEILING. THE SINK IN THE INFANT ROOM NEAR THE DIAPER AREA HAD A SHARP METAL OBJECT PROTRUDING FROM THE FAUCET. THE OBJECT WAS COVERED WITH A PIECE OF TAPE THAT WAS NOT STICKING. THE WINDOW BLINDS IN THE INFANT ROOM WAS TORN. AN ELECTRICAL OUTLET LOCATED ON THE LEFT WALL OF THE INFANT ROOM WAS LOOSE WITH SPACE AROUND THE OUTLET. ANOTHER ELECTRICAL OUTLET IN THE INFANT ROOM LOCATED BEHIND THE REFRIGERATOR WAS LOOSE. THERE WERE SPACES AND GAPS ALONG THE BASE BOARD AND CORNER OF THE WALL IN THE INFANT ROOM THAT CONTAINED SPRAY-FOAM INSULATION. THE EDGES OF THE CARPET IN THE INFANT ROOM WERE FRAYED AND TORN. THERE WAS A BENT VENT WITH A SHARP EDGE AND PEELING PAINT AND RUST LOCATED ON THE LOWER RIGHT WALL IN THE INFANT ROOM. THE CARPET LEADING FROM THE TODDLER ROOM TO THE INDOOR PLAY SPACE WAS TORN AND FRAYED. THE WALL IN THE CORNER OF THE 2ND FLOOR ROOM HAD GAPS AND SPACES ALONG THE FLOOR BOARD. A VENT LOCATED IN THE 2ND FLOOR BACK KITCHEN AREA AND A VENT LOCATED ON THE LEFT WALL OF THE 2ND FLOOR ROOM PAST THE TOP OF THE STAIRS WAS LOOSE. THE EXIT FROM THE 2ND FLOOR KITCHEN AREA HAD A LOOSE CABLE WIRE AT THE TOP OF THE STAIRS POSING A TRIPPING HAZARD.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS A LONG CRACK IN THE PLASTER ON THE WALL OF THE INFANT ROOM. THERE WAS PEELING PAINT AND PLASTER AT THE ENTRANCE OF THE INFANT ROOM LOCATED IMMEDIATELY TO THE RIGHT OF THE ENTRANCE AT THE BASEBOARD. THE PAINT IN THE CORNER OF THE 2ND FLOOR ROOM BELOW THE WINDOW WAS PEELING. THE PLASTER AROUND THE WINDOW WAS ALSO PEELING. THE EMERGENCY EXIT STAIRS LEADING FROM THE 2ND FLOOR KITCHEN AREA WERE RUSTED WITH PEELING PAINT AND RUST. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 7/9/19, THERE WAS NO INCIDENT REPORT IN FILE FOR THE INCIDENT IN QUESTION.

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

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 7/9/19, STAFF PERSON # 2 DID NOT HAVE AN INDIVIDUAL RECORD.

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

Noncompliance Area: DURING A COMPLAINT INVESTIGATION ON 7/9/19, STAFF PERSON # 1(WHO IS AN AIDE) AND STAFF PERSON # 2 (WHO IS A VOLUNTEER) ACKNOWLEDGED THAT THEY WERE ALONE WITH GROUPS OF CHILDREN DURING THE DATE OF THE INCIDENT. STAFF PERSON # 2 ESCORTED CHILDREN TO THE BATHROOM AT THE TIME OF THE INVESTIGATION.

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 THE RENEWAL INSPECTION THE NAILS AND BRACKETS USED TO SECURE THE CUBBIES IN THE 2ND FLOOR ROOM WERE RIPPED FROM THE WALL AND LEFT HANGING AND EXPOSED.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS MOLD IN THE REFRIGERATOR LOCATED IN THE INFANT ROOM THAT WAS USED TO STORE INFANT BOTTLES.

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: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 3 DID NOT INCLUDE AN AGREEMENT WITH THE AMOUNT OF THE FEE TO BE CHARGED.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 5 DID NOT INCLUDE AN AGREEMENT WITH THE CHILD'S ARRIVAL AND DEPARTURE TIMES.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 2 DID NOT INCLUDE AN AGREEMENT WITH THE PERSONS DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 2 DID NOT INCLUDE THE NAME, ADDRESS AND PHONE NUMBER OF THE CHILD'S PHYSICIAN OR SOURCE OF MEDICAL CARE. THE EMERGENCY CONTACT INFORMATION FOR CHILD 4 DID NOT INCLUDE THE ADDRESS OF THE CHILD'S PHYSICIAN OR SOURCE OF MEDICAL CARE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 2 DID NOT INCLUDE THE ENROLLING PARENT'S WORK ADDRESS AND HOME PHONE NUMBER. THE EMERGENCY CONTACT INFORMATION FOR CHILD 4 DID NOT INCLUDE THE ENROLLING PARENT'S WORK PHONE NUMBER.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 2, CHILD 3 AND CHILD 4 DID NOT INCLUDE THE PARENT'S SIGNED CONSENT FOR EMERGENCY MEDICAL CARE FOR THE CHILD.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 2 DID NOT INCLUDE HEALTH INSURANCE COVERAGE AND POLICY NUMBER.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 4 DID NOT INCLUDE THE PHONE NUMBER OF THE INDIVIDUAL DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION AND THE FINANCIAL AGREEMENT FOR CHILD 1 (ENROLLED 9/10/18) AND CHILD 4 (ENROLLED 7/2/18) DID NOT INCLUDED A 6 MONTH REVIEW AND UPDATE.

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 informationA 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: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1(ENROLLED 9/10/18), CHILD 2 (ENROLLED 3/25/19), AND CHILD 4 (ENROLLED 7/2/18) DID NOT INCLUDE A HEALTH REPORT OR DOCUMENTATION OF IMMUNIZATION STATUS. THE FILE OF CHILD 3 (ENROLLED 11/26/18) DID NOT INCLUDE DOCUMENTATION OF IMMUNIZATION STATUS.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: DURING THE RENEWAL INSPECTION AFTER DIAPERING A CHILD, STAFF 2 PUT THE CHILD DOWN WITHOUT WASHING THE CHILD'S HANDS, WHILE STAFF 2 DISCARDED THE SOILED DIAPER AND CLEANED THE CHANGING PAD. STAFF 2 WASHED THE CHILD'S HANDS AFTER CLEANING THE DIAPER AREA.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. 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: DURING THE RENEWAL INSPECTION THE PROVIDER HAD A FOOD PREPARATION LICENSE WHICH EXPIRED ON 5/17/19. THE PROVIDER HAD A FOOD FACILITY INSPECTION WITH VIOLATIONS DATED 8/23/18 AND NO DOCUMENTATION OF COMPLIANCE FOR THE CITED VIOLATIONS.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION, THE FILE OF STAFF 1 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT. THE HEALTH ASSESSMENT WAS DATED 5/24/17.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 3 DID NOT CONTAIN DOCUMENTATION OF THE DATE THAT A TB SCREENING BY MANTOUX METHOD WAS READ.

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: DURING THE RENEWAL INSPECTION THERE WAS A SIPPY CUP WITH MILK IN IT LEFT IN A CUBBY IN THE TODDLER ROOM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 3 (DOB 7/13/18) AND CHILD 5 (DOB 11/16/18) DID NOT CONTAIN A WRITTEN STATEMENT OF FORMULA AND FEEDING SCHEDULE AND STAFF 2 INFORMED THE CERTIFICATION REPRESENTATIVE THAT SHE DID NOT OBTAIN THE STATEMENT FROM THE PARENTS OF THE INFANTS IN CARE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE SIPPY CUPS IN CUBBIES LOCATED IN THE TODDLER ROOM THAT WERE NOT LABELED WITH THE CHILD'S NAME. THERE WERE BOTTLES IN THE REFRIGERATOR LOCATED IN THE INFANT ROOM THAT WERE NOT LABLED WITH THE CHILD'S NAME.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 1, CHILD 2, AND CHILD 3 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR FIRST-AID.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 2 AND CHILD 3 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR TRANSPORTATION AND WALKING EXCURSIONS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 2 AND STAFF 4 DID NOT CONTAIN 2 WRITTEN, NON-FAMILY REFERENCES ATTESTING TO SUITABILITY TO WORK AS A FACILITY PERSON IN CHILD CARE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1 (HIRED 5/27/16), STAFF 2 (HIRED 5/22/18), STAFF 3 (HIRED 7/15/16) AND STAFF 4 (HIRED 6/12/17) DID NOT INCLUDE DOCUMENTATION OF 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: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 2 (HIRED 5/22/18 - 4HRS), STAFF 3 (HIRED 7/15/16 - 3 HRS) AND STAFF 4 (HIRED 6/12/17- 0 HRS) DID NOT INCLUDE DOCUMENTATION OF ANNUAL MINIMUM OF 6 CLOCK HOURS OF TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 2 (AGS -- HS DIPLOMA & 2 YRS EXP) AND THE FILE OF STAFF 4 (GS -- ASSOCIATE DEGREE & 2YRS EXP) DID NOT INCLUDE VERIFICTION OF EXPERIENCE OR 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS EXCESSIVE FOLIAGE OUTSIDE OF THE EXIT FROM THE INFANT ROOM. THE FOLIAGE POTRUDED INTO THE ROOM WHEN THE DOOR WAS OPENED THEN CLOSED. THERE WERE ALSO LARGE CEMENT SLABS AND A TREE STUMP BLOCKING THE PATH OF EGRESS. THIS PATH OF EGRESS WAS ALSO THE PATH OF EGRESS FOR THE 2ND FLOOR.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE ELECTRICAL OUTLET LOCATED ON THE 2ND FLOOR NEAR THE AIR CONDITIONER DID NOT HAVE A PROTECTIVE COVER.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS STEEL WOOL PLACED IN GAPS IN THE WALL IN THE INFANT ROOM. THERE WERE TOXIC CHEMICALS INCLUDING LATEX, LYSOL AND CEILING PAINT LOCATED IN AN UNLOCKED CABINET UNDER THE SINK IN THE KITCHEN AREA ON THE 2ND FLOOR. THERE WERE EMPTY PLASTIC BAGS AND WET WIPES STORED IN PLASTIC BAGS IN CUBBIES LOCATED IN THE TODDLER ROOM ACCESSIBLE TO THE CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE SCREEN IN THE WINDOW LOCATED IN THE ROOM OUTSIDE OF THE KITCHEN AREA ON THE 2ND FLOOR WAS TORN.

Correction Required: Screens shall be in good repair.

Noncompliance Area: DURING THE RENEWAL INSPECTION, THE OPENING OF THE WINDOW IN THE 2ND FLOOR CHILD CARE SPACE LOCATED TO THE LEFT OF THE ELECTRICAL BOX AND CUBBIES MEASURED OVER 2 FEET HIGH. THE OPENING OF THE WINDOW LOCATED IN THE KITCHEN AREA MEASURED 8 INCHES. THE CENTER WINDOW LOCATED ON 20TH STREET IN THE IMAGINATIVE PLAY AREA WITH YELLOW WALLS OPENED BEYOND 6 INCHES AND SLAMMED SHUT WHEN RELEASED.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FIRST AID KIT IN THE INFANT ROOM WAS MISSING SCISSORS AND CONTAINED STAINED GLOVES AND A SOILED THERMOMETER. THE FIRST AID KIT IN THE TODDLER ROOM CONTAINED STAINED GLOVES, WET GAUZE, RUSTY SCISSORS AND OPEN OINTMENT. THE FIRST AID KIT IN THE 2ND FLOOR CHILD CARE SPACE CONTAINED SOILED GLOVES AND SCISSORS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE STAINED AND LOOSE TILES IN THE INFANT ROOM AND A LOOSE TILE WAS DIRECTLY OVER A PLAY PEN WHERE A CHILD WAS RESTING. THE SINK IN THE INFANT ROOM NEAR THE DIAPER AREA HAD A SHARP METAL OBJECT PROTRUDING FROM THE FAUCET. THE WINDOW BLINDS IN THE INFANT ROOM WAS TORN. AN ELECTRICAL OUTLET LOCATED BEHIND A PLAY PEN IN THE INFANT ROOM WAS LOOSE WITH SPACE AROUND THE ELECTRICAL SOCKETS AND AROUND THE OUTLET COVER. ANOTHER ELECTRICAL OUTLET IN THE INFANT ROOM LOCATED BEHIND THE REFRIGERATOR WAS LOOSE. THERE WERE SPACES AND GAPS ALONG THE BASE BOARD AND CORNER OF THE WALL IN THE INFANT ROOM. THE EDGES OF THE CARPET IN THE INFANT ROOM WERE FRAYED AND TORN. THE EDGES OF THE RUG IN THE IN-DOOR PLAY SPACE WAS TORN AND FRAYED. THERE WAS AN AIR CONDITIONER ON THE FLOOR DIRECTLY UNDER A WINDOW LOCATED IN THE 2ND FLOOR ROOM ADJACENT TO THE KITCHEN AREA. THE WALL IN THE CORNER OF THE 2ND FLOOR ROOM HAD GAPS AND SPACES ALONG THE FLOOR BOARD. THE WOOD FRAMING AROUND THE 2ND FLOOR CORNER WINDOW AND THE DOOR LEADING TO THE ATTIC WERE CHIPPED WITH SHARP EDGES EXPOSED AND NOT IN GOOD REPAIR. SCREWS WERE LEFT LYING ON THE WINDOW SILL IN THE 2ND FLOOR ROOM. A VENT LOCATED IN THE 2ND FLOOR BACK KITCHEN AREA AND A VENT LOCATED ON THE LEFT WALL OF THE 2ND FLOOR ROOM PAST THE TOP OF THE STAIRS WAS LOOSE. THE EXIT FROM THE 2ND FLOOR KITCHEN AREA HAD ERODED WOOD AND A LOOSE CABLE WIRE AT THE TOP OF THE STAIRS POSING A TRIPPING HAZARD. THE GLASS DOOR OF THE MAIN ENTRANCE WAS CRACKED AND SHATTERED.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE PAINT IN THE CORNER OF THE 2ND FLOOR ROOM BELOW THE WINDOW WAS PEELING FROM WATER DAMAGE. THE PLASTER AROUND THE WINDOW WAS ALSO PEELING.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE RUSTY PIPES BY THE TOILET IN THE 2ND BATHROOM ON THE 2ND FLOOR.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE NO HAND WASHING SIGNS POSTED AT THE SINK LOCATED IN THE 1ST FLOOR 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE 2ND FLOOR EXIT NEAR THE BATHROOMS AND THE ORANGE ROOM IN THE REAR HAD A PUSH-BAR DOOR THAT OPENS TO STAIRS.

Correction Required: If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FIRE DRILL LOG INDICATED THAT THE LAST FIRE DRILL WAS HELD ON 3-14-18.

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: Observed that preschool room #4 did not contain play equipment and materials specified at 3270.101(c)(1) - (6).

Correction Required: Play equipment and materials shall include the items specified at 3270.101(c)(1) - (6).

Noncompliance Area: Child #1, #2 and #3's agreement did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: Child #1's emergency contact information did not include the work address and telephone number of the enrolling parent.

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

Noncompliance Area: Child #3's emergency contact information and financial agreement were not updated in a 6- month period.

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

Noncompliance Area: Staff person #2's file only included one written 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

Noncompliance Area: Observed the facility did not have a copy of the applicable regulations under which the facility is certified posted in a conspicuous location.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Staff person #1, #2, #3 and #4 did not have verification of emergency plan training in the files.

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: Staff person #1, #3 and #4 did not have annual minimum of 6 clock hours of child care training in file.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Staff person #1, #3 and #5 did not have the criminal history clearance results on file (Corrected on site 4/4/2018). Staff person #5 did not have FBI clearance and mandated reporter training on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5 may not work in a child care position at the facility. 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: Observed water damage on the ceiling and wall in preschool room #3.

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.